{"id":5186,"date":"2010-12-02T16:09:34","date_gmt":"2010-12-02T21:09:34","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=5186"},"modified":"2011-07-19T17:44:41","modified_gmt":"2011-07-19T21:44:41","slug":"aha-releases-updated-stroke-prevention-guidelines","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/12\/02\/aha-releases-updated-stroke-prevention-guidelines\/","title":{"rendered":"AHA Releases Updated Stroke Prevention Guidelines"},"content":{"rendered":"<p>Here&#8217;s the good news, according to Larry Goldstein, the chairman of the statement writing  committee for the revised American Heart Association\/American Stroke  Association <em><a href=\"http:\/\/stroke.ahajournals.org\/cgi\/content\/abstract\/STR.0b013e3181fcb238v1?maxtoshow=&amp;hits=10&amp;RESULTFORMAT=&amp;fulltext=Guidelines+for+the+Primary+Prevention+of+Stroke&amp;searchid=1&amp;FIRSTINDEX=0&amp;resourcetype=HWCIT\">Guidelines for the Primary Prevention of Stroke<\/a>:<\/em><\/p>\n<p style=\"padding-left: 30px;\"><em><\/em>\u201cBetween 1999 and 2006, there\u2019s been over a 30 percent reduction in stroke death rates in the United States and we think the majority of the reduction is coming from better prevention,\u201d<em><\/em><\/p>\n<p>Here&#8217;s the bad news: Stroke remains the third leading cause of death in the U.S. And nearly 800,000 strokes occur each year, of which 77% are first events.<\/p>\n<p>Here are a few key highlights from the new guidelines on how to prevent those first strokes:<\/p>\n<ul>\n<li>The risk of a first stroke can be reduced by as much as 80% with healthy lifestyle choices, including not smoking, eating a healthy diet, maintaining normal body weight, drinking in moderation, and exercising regularly.<\/li>\n<li>Genetic screening and carotid-artery screening are not recommended for the general population, but may be appropriate in some people.<\/li>\n<li>The use of carotid stenting or carotid endarterectomy in patients without symptoms\u00a0 is &#8220;unclear.&#8221; The relative benefits of the two procedures are also &#8220;still uncertain.&#8221;<\/li>\n<li>Aspirin will not prevent a stroke in low-risk individuals, including those with diabetes or asymptomatic peripheral artery disease.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Here&#8217;s the good news, according to Larry Goldstein, the chairman of the statement writing committee for the revised American Heart Association\/American Stroke Association Guidelines for the Primary Prevention of Stroke: \u201cBetween 1999 and 2006, there\u2019s been over a 30 percent reduction in stroke death rates in the United States and we think the majority of [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[595,253,489],"class_list":["post-5186","post","type-post","status-publish","format-standard","hentry","category-prevention","tag-guidelines","tag-stroke","tag-stroke-prevention"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/5186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=5186"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/5186\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=5186"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=5186"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=5186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}