How to measure and to manage the risk of stroke.
Several risk factors for stroke have been identified. Some of them can be modified through pharmacological or non-pharmacological interventions. The presence of multiple risk factors has a factorial effect. Total risk estimation can be categorised into high, intermediate and low risk. However prevention should be considered as a continuum from low to high risk. Risk management strategies can be addressed to high-risk individuals and to populations. The more efficient and cost-effective strategies combine the two approaches. A number of tools for estimating risk of coronary heart disease or other atherosclerotic diseases have been developed, including risk score charts, risk assessment algorithms and computer software programmes. The Italian Guidelines for Stroke Prevention and Management, along with statements on pharmacological approach, provide recommendations concerning correct lifestyles to decrease stroke incidence and mortality in the entire population, but especially in subjects at high risk of vascular diseases.
Sterzi
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SC Neurologia, Azienda Ospedaliera Niguarda Ca' Granda, P.za Ospedale Maggiore 3, Milan, Italy. roberto.sterzi@ospedaleniguarda.it
Vidale
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D000465:Algorithms; D003198:Computer Simulation; D006801:Humans; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D020521:Stroke / Q000517:prevention & control*