Featuring a rigorous evidence-based approach and hands-on tools, this book will enable you to go further in minimizing the risk of stroke for your patients. Edited by two global authorities, Stroke Prevention, Treatment, and Rehabilitation offers leading-edge insights, new data, and best practices from luminaries in the field'all designed to help you apply proven stroke prevention techniques and treatment protocols to your practice. In concise, practical chapters, the text surveys the epidemiology of stroke, the urgency of treatment and how to unlock the considerable potential for prevention. Specific chapters highlight specific, ready-to-use prevention methods, including: Nutritional counseling, smoking cessation and exercise Management of hypertension Antiplatelet, anticoagulation, and lipid-lowering therapies Intracranial stenosis and appropriate endarterectomy and stenting Treatment and rehabilitation for when stroke has already occurred David Spence, MD Trained in Neurology with Dr. Barnett before going on to complete training in Internal Medicine, and then a fellowship in Clinical Pharmacology at San Francisco. Has focused on stroke prevention throughout his career. Professor of Neurology and Clinical Pharmacology at the Robarts Research Institute, London, Canada. Ran a hypertension clinic for 20 years; for the past 15 years has run a busy stroke prevention clinic. Pioneered ultrasound measurement of carotid plaque for patient management, genetic research and evaluation of new therapies. Published in 2006 a book for the public; How to prevent your stroke. Wife and first son are family physicians; has done a lot of continuing medical education to family physicians around the world. Selected by the World Congress of Neurology in 2009 to teach the course on stroke prevention. Henry JM Barnett, MD A giant in stroke prevention: first to show that Aspirin reduced the risk of stroke; led the study that showed that carotid endarterectomy reduced the risk of stroke in patients with symptomatic carotid stenosis, and the study that showed that extra-cranial to intracranial bypass was not effective. Founding chair of the department of Clinical Neurological Sciences at the University of Western Ontario, in which Neurology and Neurosurgery joined to form a department separate from Medicine and Surgery. This model, which he pioneered with his neurosurgical colleague Charlie Drake, has been copied successfully the world over. Former editor of the journal Stroke, and internationally recognized as the father of stroke prevention. Table of contents 1. Epidemiology of stroke prevention, and urgency of treatment 2. Potential for stroke prevention 3. Nutrition in stroke prevention 4. Smoking cessation 5. Exercise 6. Hypertension 7. Antiplatelet therapy 8. Anticoagulation 9. Lipid lowering therapy 10. Treatment of diabetes and insulin resistance 11. Appropriate endarterectomy and stenting 12. Finding the cause of the TIA or stroke: the key to appropriate therapy 13. Hazards of relying on publications 14. Prospects for preventing dementia by preventing stroke 15. Minimizing adverse effects of cardiovascular therapy
