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Primary Stroke Prevention

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Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care practitioners, and providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Abbreviations ACC, American College of Cardiolog y; AF, atrial fibrillation; AHA, American Heart Association; aPL, antiphospholipid antibodies; BMI, body mass index; BP, blood pressure; CAS, carotid angioplasty and stenting ; CDC, Center for Disease Control; CEA, carotid endarterectomy; CRP, C-reactive protein; CV, cardiovascular; CVD, cardiovascular disease; DASH, Dietary Approaches to Stop Hypertension; DBP, diastolic blood pressure; ECG, electrocardiogram; ED, emergency department; hs-CRP, high- sensitivity C-reactive protein; INR, international normalized ratio; HDL, high-density lipoprotein cholesterol; LAA, le atrial appendage; Lp(a), lipoprotein(a); MRA, magnetic resonance angiography; MRI, magnetic resonance imaging ; OC, oral contraceptive; PFO, patent foramen ovale; RA, rheumatoid arthritis; SAH, subarachnoid hemorrhage; SBP, systolic blood pressure; SCD, sickle cell disease; SLE, systemic lupus erythematosis; STEMI, ST-elevation myocardial infarction; TCD, transcranial Doppler; VKA, vitamin K antagonist Source Meschia JF, Bushnell C, Boden-Albala B, Braun LT, Bravata DM, Chaturvedi S, Creager MA, Eckel RH, Elkind MSV, Fornage M, Goldstein LB, Greenberg SM, Horvath SE, Iadecola C, Jauch EC, Moore WS, Wilson JA; on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiolog y, Council on Functional Genomics and Translational Biolog y, and Council on Hypertension. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(12):3754-3832. 106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies, order at GuidelineCentral.com Copyright © 2015 All rights reserved ASAPRI15013

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