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2024 Guideline for the Primary Prevention of Stroke
TAKE-HOME MESSAGE
- This report, supported by various medical associations like the AAN, provides the most up-to-date guidelines for the primary prevention of stroke. There was a strong emphasis on regular visits with primary care professionals throughout life, addressing the social determinants of health, importance of the Mediterranean diet and regular moderate to vigorous activity, and management of vascular risk factors like hypertension, obesity, sleep disorders, cigarette smoking, and diabetes. The report also highlighted recent updates on women- and transgender people–specific risk factors such as pregnancy, endometriosis, premature ovarian failure, early-onset menopause, and gender-affirming estrogen therapy.
- This comprehensive guideline addresses all the crucial aspects of primary stroke prevention and provides a very useful evidence-based roadmap for treating clinicians. It also identifies gaps in the literature with direction for future research.
abstract
This abstract is available on the publisher's site.
Access this abstract nowAIM
The "2024 Guideline for the Primary Prevention of Stroke" replaces the 2014 "Guidelines for the Primary Prevention of Stroke." This updated guideline is intended to be a resource for clinicians to use to guide various prevention strategies for individuals with no history of stroke.
METHODS
A comprehensive search for literature published since the 2014 guideline; derived from research involving human participants published in English; and indexed in MEDLINE, PubMed, Cochrane Library, and other selected and relevant databases was conducted between May and November 2023. Other documents on related subject matter previously published by the American Heart Association were also reviewed.
STRUCTURE
Ischemic and hemorrhagic strokes lead to significant disability but, most important, are preventable. The 2024 primary prevention of stroke guideline provides recommendations based on current evidence for strategies to prevent stroke throughout the life span. These recommendations align with the American Heart Association's Life's Essential 8 for optimizing cardiovascular and brain health, in addition to preventing incident stroke. We also have added sex-specific recommendations for screening and prevention of stroke, which are new compared with the 2014 guideline. Many recommendations for similar risk factor prevention were updated, new topics were reviewed, and recommendations were created when supported by sufficient-quality published data.
Additional Info
Disclosure statements are available on the authors' profiles:
2024 Guideline for the Primary Prevention of Stroke: A Guideline From the American Heart Association/American Stroke Association
Stroke 2024 Oct 21;[EPub Ahead of Print], C Bushnell, WN Kernan, AZ Sharrief, S Chaturvedi, JW Cole, WK Cornwell, C Cosby-Gaither, S Doyle, LB Goldstein, O Lennon, DA Levine, M Love, E Miller, M Nguyen-Huynh, J Rasmussen-Winkler, KM Rexrode, N Rosendale, S Sarma, D Shimbo, AN Simpkins, ES Spatz, LR Sun, V Tangpricha, D Turnage, G Velazquez, P WheltonFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
2024 guidelines on the primary prevention of stroke
This guideline delves into the details of what we should be doing in order to prevent the very first stroke in patients. Overall, the recommendations agree with the American Heart Association's Life's Essential 8 recommendations that were published before for the prevention of cardiovascular disease.
However, this guideline has a few specific recommendations for stroke prevention, and some of those are listed below:
The hope is that, with these new guidelines, we can prevent the occurrence of the very first stroke in patients.