title: Stroke prevention--medical and lifestyle measures.
abstract: BACKGROUND
  According to the World Health Organization, stroke is the 'incoming epidemic of the 21st century'. In light of recent data suggesting that 85% of all strokes may be preventable, strategies for prevention are moving to the forefront in stroke management.
  
  
  CONCLUSIONS
  This review discusses the risk factors and provides evidence on the effective medical interventions and lifestyle modifications for optimal stroke prevention. Key Messages: Stroke risk can be substantially reduced using the medical measures that have been proven in many randomized trials, in combination with effective lifestyle modifications. The global modification of health and lifestyle is more beneficial than the treatment of individual risk factors.
  
  
  CONCLUSIONS
  Hypertension is the most important modifiable risk factor for stroke. Efficacious reduction of blood pressure is essential for stroke prevention, even more so than the choice of antihypertensive drugs. Indications for the use of antihypertensive drugs depend on blood pressure values and vascular risk profile; thus, treatment should be initiated earlier in patients with diabetes mellitus or in those with a high vascular risk profile. Treatment of dyslipidemia with statins, anticoagulation therapy in atrial fibrillation, and carotid endarterectomy in symptomatic high-grade carotid stenosis are also effective for stroke prevention. Lifestyle factors that have been proven to reduce stroke risk include reducing salt, eliminating smoking, performing regular physical activity, and maintaining a normal body weight.
authors.affiliation: Neurology Department, University Hospital Bern, Bern, Switzerland.
authors.forename: Hakan
authors.initials: H
authors.lastname: Sarikaya
authors.forename: Jose
authors.initials: J
authors.lastname: Ferro
authors.forename: Marcel
authors.initials: M
authors.lastname: Arnold
mesh_terms: D015438:Health Behavior; D006801:Humans; D008019:Life Style; D012307:Risk Factors; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*