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Preventing stroke

Stroke - prevention; CVA - prevention; Cerebral vascular accident - prevention; TIA - prevention, Transient ischemic attack - prevention

A stroke occurs when the blood flow is cut off to any part of the brain. The loss of blood flow can be caused by a blood clot in an artery of the brain. It can also be caused by a blood vessel in a part of the brain that becomes weak and bursts open. A stroke is sometimes called a "brain attack."

I Would Like to Learn About:

What are Risk Factors and Preventive Care?

A risk factor is something that increases your chance of having a stroke. You cannot change some risk factors for stroke. But some, you can.

Changing risk factors that you can control will help you live a longer, healthier life. This is called preventive care.

An important way to help prevent stroke is to see your health care provider for regular checkups. Your provider will want to see you at least once a year. Ask your provider when you should come in for a checkup.

Risk Factors You Cannot Change

You can't change some risk factors or causes of stroke:

Blood clots from the heart may travel to the brain and cause a stroke. This may happen in people with:

Changes to Your Lifestyle

You can change some risk factors for stroke, by taking the following steps:

Eating healthy is good for your heart and can help lower your risk of stroke.

Read labels and stay away from unhealthy fats. Avoid foods with:

Medical Problems May Lead to Stroke

Work with your provider to control your cholesterol and diabetes with a healthy diet, exercise, and medicines if needed.

If you have high blood pressure:

If you have hardening of the arteries, your provider may want to monitor your carotid arteries for blockages.

If you take blood thinners, it is important to not miss any doses, as blood clots can form and cause stroke.

Talk to your provider about the risks of taking birth control pills.

Your provider may suggest taking aspirin or another medicine to help prevent blood clots from forming. Do not take aspirin without talking to your provider first.

References

Alberts MJ. Prevention and management of ischemic stroke. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 45.

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular disease. In Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley's and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 65.

January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2019;74(1):104-132. PMID: 30703431 pubmed.ncbi.nlm.nih.gov/30703431/.

Riegel B, Moser DK, Buck HG, et al; American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Peripheral Vascular Disease; and Council on Quality of Care and Outcomes Research. Self-care for the prevention and management of cardiovascular disease and stroke: a scientific statement for healthcare professionals from the American Heart Association. J Am Heart Assoc. 2017;6(9). pii: e006997. PMID: 28860232 pubmed.ncbi.nlm.nih.gov/28860232/.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71(19):e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.

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Review Date: 8/28/2023  

Reviewed By: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School at Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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