Ischemic stroke, part 2: Optimal treatment and prevention

Research output: Contribution to journalShort surveypeer-review

4 Scopus citations


The goal of medical treatment during acute cerebral infarction is to enhance thrombolysis and inhibit the chemical alterations associated with cell death. Treatment includes avoidance of blood pressure reduction, blood glucose control, possible anticoagulation with IV heparin, and sometimes reduction of cerebral edema. Optimal treatment thereafter depends on the result of patient evaluation. Uncontrolled vascular risk factors (eg, hypertension, smoking, and diabetes) should be treated. Aspirin and ticlopidine reduce the risk of recurrent ischemic stroke. In patients with nonrheumatic atrial fibrillation, anticoagulation with warfarin reduces the risk of embolic events. Carotid endarterectomy is superior to medical management alone in reducing the risk of stroke in patients with >70% symptomatic extracranial carotid stenosis.

Original languageEnglish (US)
Pages (from-to)37-54
Number of pages18
Issue number3
StatePublished - 1993
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology


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