• Internal medicine journal · Apr 2021

    Review

    Current approach to acute stroke management.

    • Leo Davies and Candice Delcourt.
    • Department of Neurology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
    • Intern Med J. 2021 Apr 1; 51 (4): 481-487.

    AbstractThere have been marked improvements in the management of stroke in Australia over the past two decades. The greatest benefit has accrued from public health measures including reduced smoking rates and treatment of hypertension and hypercholesterolaemia. Recent advances in recanalisation therapy offer the chance of recovery to a subset of people who have a stroke. For many patients, stroke remains an illness with a devastating impact on their quality of life. Reducing the burden of stroke requires intervention across the health system from primary prevention through diagnosis, acute treatment, rehabilitation and secondary prevention. In this review, we will cover the changes in the epidemiology of stroke, public health measures in primary prevention of stroke, and acute management and secondary prevention of ischaemic stroke and primary intracerebral haemorrhage.© 2021 Royal Australasian College of Physicians.

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