Atherothrombosis, antiplatelet therapy and ischaemic stroke prevention

Strategies to prevent the development of atherosclerosis and mitigate the formation of surface thrombus on atherosclerotic plaque can potentially translate into substantial reductions in the risk of ischaemic stroke.

Current management of atrial fibrillation

Most patients with atrial fibrillation will need rate control therapy and anticoagulation. GPs can initiate these therapies in stable patients. Rhythm control, new antithrombin agents and catheter ablation techniques are also discussed.

Stroke-prone patients: focus on carotid surgery and stenting

Carotid endarterectomy effectively reduces the risk of stroke. Carotid stenting is an attractive alternative to carotid endarterectomy, but it awaits the evidence of clinical trials in progress before it can be endorsed fully as a stroke-preventive procedure.

TIA and stroke: a management guide for GPs

With the availability of level I evidence showing that the burden of stroke may be reduced by specific strategies for the acute phase and secondary prevention, management is changing rapidly.

Managing stroke survivors in the community

A stroke can transform a person physically, socially and psychologically. The community care of stroke survivors includes promoting independent living, preventing further strokes and caring for the carers.