Abstract
Significant advances have been made in recent years in primary stroke prevention,
improved stroke outcomes in high-income populations, emergency stroke therapy, and
stroke prevention. In this article, we review recent trends in stroke epidemiology,
improvements in delivery of intravenous thrombolysis (via stroke system-wide approaches,
application of ‘Lean Principles’ to improve workflow processes, and re-evaluation
of exclusion criteria), recent stroke thrombectomy trials, and new developments in
stroke prevention, with emphasis on risk prediction in transient ischemic attack,
choice and timing of anticoagulation therapy for secondary stroke prevention, and
emerging concepts in risk stratification for management of symptomatic carotid stenosis.
Keywords
stroke - population - therapy - atrial fibrillation - transient ischaemic attack -
prevention