Protocolo de actuación en la prevención del ictus isquémico

Abstract

The prevention strategies for stroke are based on lifestyle modifications, action on vascular risk factors, and, in the case of secondary prevention, specific treatment measures according to the type of stroke. In ischemic stroke of atherothrombotic origin, antiplatelet treatment, statins, and carotid intervention procedures will be indicated in select cases of ipsilateral carotid artery stenosis. In strokes of cardioembolic origin, anticoagulant treatment will be used (the drug and the intensity of anticoagulation will vary based on the cardioembolic source). In lacunar infarctions, antiplatelet and statin treatment will be used. In ischemic stroke of unusual cause, preventative treatment will depend on the etiology. In cryptogenic stroke, antiplatelet treatment is indicated, with prolonged heart rate monitoring in search of paroxysmal atrial fibrillation also recommended. Oral anticoagulant treatment is not recommended in cryptogenic stroke with a suspicion of embolic origin, except if a cardiac origin is demonstrated.