Objective To establish, in a single resource, up-to-date recommendations for primary care physicians regarding prevention strategies for a first stroke.
Participants Members of the National Stroke Association's (NSA's) Stroke Prevention Advisory Board and Cedars-Sinai Health System Department of Health Services Research convened on April 9,1998, in an open meeting.
The conference attendees, selected to participate by the NSA, were recognized experts in neurology (9), cardiology (2), family practice (1), nursing (1), physician assistant practices (1), and health services research (2).
Evidence A literature review was carried out by the Department of Health Services Research, Cedars-Sinai Health System, Los Angeles, Calif, using the MEDLINE database search for 1990 through April 1998 and updated in November 1998.
English-language guidelines, statements, meta-analyses, and overviews on prevention of a first stroke were reviewed.
Consensus Process At the meeting, members of the advisory board identified 6 important stroke risk factors (hypertension, myocardial infarction [Ml], atrial fibrillation, diabetes mellitus, blood lipids, asymptomatic carotid artery stenosis), and 4 life-style factors (cigarette smoking, alcohol use, physical activity, diet).
Conclusions Several interventions that modify well-documented and treatable cardiovascular and cerebrovascular risk factors can reduce the risk of a first stroke. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Conférence consensus, Multidisciplinaire, Prévention, Article synthèse, Revue bibliographique, Guide pratique, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Consensus conference, Multidisciplinary, Prevention, Review, Bibliographic review, Handbook, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0235495
Code Inist : 002B17A03. Création : 16/11/1999.