Médecine sciences : M/S
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Stroke unit care is effective to reduce mortality and handicap in all types of strokes. In ischaemic strokes t-PA within 3 hours is the standard therapy, replaced by aspirin 300 mg when not appropriate. ⋯ Vascular risk factors should be treated to prevent stroke, especially high blood pressure, high blood cholesterol, and cigarette smoking. To reduce the risk of any new vascular events after a first stroke or TIA, the 3 complementary strategies are: an optimal management of risk factors for stroke (for all types of strokes and TIA), an antithrombotic therapy (in ischaemic stroke and TIA only), and carotid surgery in severe symptomatic stenosis.