Sekundärprophylaxe der zerebralen Ischämie

Tilman Reiff; Peter A. Ringleb

doi:10.1055/a-1239-0344

Nervenheilkunde, Table of Contents

Nervenheilkunde 2020; 39(10): 644-650
DOI: 10.1055/a-1239-0344

Schwerpunkt

Sekundärprophylaxe der zerebralen Ischämie

Secondary prevention of cerebral infarction

Authors

Tilman Reiff

¹Neurologische Klinik, Universitätsklinikum Heidelberg
Peter A. Ringleb∗

¹Neurologische Klinik, Universitätsklinikum Heidelberg

Abstract

ZUSAMMENFASSUNG

Die Sekundärprävention von Hirninfarkt und TIA umfasst neben wichtigen Maßnahmen der Lebensstiländerung zur Risikofaktorenmodifikation verschiedene medikamentöse und interventionelle Verfahren. Durch Behandlung von arterieller Hypertonie und Hyperlipidämie können erneute vaskuläre Ereignisse, Schlaganfall wie Herzinfarkt, verhindert werden. Eine große Bedeutung hat auch die antithrombotische Sekundärprävention durch Thrombozytenaggregationshemmer und orale Antikoagulantien sowie deren Kombination. Bei Vorliegen symptomatischer intra- oder extrakranieller arteriosklerotischer Stenosen können auch gefäßchirurgische oder neuroradiologisch interventionelle Verfahren der Verhinderung weiterer Schlaganfälle dienen.

ABSTRACT

Secondary prevention of cerebral infarction and TIA includes important lifestyle modification measures to modify risk factors as well as various drugs and interventions. Treating arterial hypertension, hyperlipidemia and diabetes can prevent recurrence of vascular events, as well as stroke as myocardial infarction. Antithrombotic secondary prevention using antiplatelets and oral anticoagulants, as well as their combination, is also of great importance. In the presence of symptomatic intra- or extracranial atherosclerotic stenoses, surgical or neuroradiological interventional procedures can also prevent further strokes.

Schlüsselwörter

Schlaganfall - Sekundärprävention - Risikofaktoren - Karotisstenose

Key words

Stroke - secondary prevention - risk factors - carotid stenosis

Full Text

References

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