Handbook of Stroke Prevention in Clinical Practice / Edition 1

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Overview

Although the strategies for stroke prevention are scientifically validated and widely accepted, they are often not effectively implemented, and the incidence of stroke has not decreased significantly. In Handbook of Stroke Prevention in Clinical Practice, leading physicians bring together all the up-to-date resources that a physician needs everyday in the office to assess and treat patients at high risk of stroke. The authors isolate the individual areas where intervention can help reduce stroke risk, providing not only background data on the major risk factors (hypertension, lipids, diabetes, tobacco, and alcohol) -- along with the epidemiological and clinical trials data available to support the proposed intervention -- but also practical advice on such lifestyle issues as diet, vitamin use, and exercise. Among the therapies fully discussed are lipid management, antithrombotic therapy, hormonal therapy, stenting, and angioplasty. Many of the basic tools necessary to measure risk and counsel patients are also provided, along with informative discussions of the less common causes of stroke, perioperative stroke risk assessment and management, the possibilities for early detection using novel biomarkers, and genetic susceptibility to stroke. Comprehensive and state-of-the-art, Handbook of Stroke Prevention in Clinical Practice is a concise survey of stroke and stroke prevention that offers busy physicians the practical resources needed to assess patients at high risk of stroke, determine optimal stroke prevention and management strategies, and successfully explain them to patients and their families.
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Editorial Reviews

Doody's Review Service
Reviewer: James M. Mays, MD (St. Luke's Hospital)
Description: The opening two chapters of this book contain a discussion of the epidemiology of stroke and of subtypes of ischemic stroke. Subsequent chapters deal with management of specific risk factors such as hypertension, diabetes, hyperlipidemia, and others, including cryptogenic emboli and other elusive causes of stroke. The editors rightly assume that the best way to treat an individual stroke is to understand the pathophysiology of the event, and they make clear that such a thing is not possible 30 to 40 percent of the time. The bulk of the book consists of practical discussions of what preventive measures are possible and, more importantly, which ones are supported by evidence.
Purpose: The purpose of the book is to provide a practical guide to managing patients at high risk for stroke and in doing so, decrease the high incidence of stroke. These are indeed worthy objectives. The various authors provide practical information about preventive measures and clearly document whether there is evidence in support of such measures or not. In reading over the various chapters one is struck by how much there is that one can do. The authors convinced me that widespread implementation of many of these measures would decrease stroke incidence. Whether any of us is right must await the statistical studies of the next decade.
Audience: The book is intended for those who take care of stroke patients or potential stroke patients. Family practitioners, internists, and neurologists will find the book interesting and useful. As the editors point out in the preface, "Neurologists....are sometimes ill-prepared to assume responsibility for managing such risk factors as hypertension....non-neurologists may feel uncomfortable localizing neurological symptoms and determining pathophysiology for the event." The book will help the comfort level of both.
Features: In addition to well known risk factors, the book has chapters discussing diet and physical activity, hormonal therapy, and serum biomarkers in prediction of stroke risk. There is a good discussion of craniocervical stenting and angioplasty including evidence (or lack thereof) in favor of one procedure or another. Each chapter is complete but not so exhaustive as to make the book unusable.
Assessment: This well written book offers a practical and usable approach to stroke therapy. For the most part the authors avoid being overly dogmatic and understand the limits of our knowledge with regard to stroke care.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781588291585
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 4/28/2004
  • Series: Current Clinical Neurology Series
  • Edition description: 2004
  • Edition number: 1
  • Pages: 310
  • Product dimensions: 9.21 (w) x 6.14 (h) x 0.75 (d)

Table of Contents

1 Epidemiology of stroke 1
2 Subtypes of ischemic stroke 19
3 Hypertension as a risk factor for stroke : epidemiology of blood pressure risks and evidence for treatment benefit 35
4 Evaluation and management of hyperlipidemia for stroke prevention 51
5 Diabetes 79
6 Tobacco and alcohol 87
7 Diet, obesity, and physical activity 105
8 Stroke prevention with antiplatelet therapy 117
9 Hormonal therapy 139
10 Stroke due to large artery atherosclerosis 151
11 Craniocervical endovascular stenting and angioplasty 167
12 Cardiac embolism 187
13 Cryptogenic emboli and other elusive causes of stroke 199
14 Less common causes of ischemic stroke 227
15 Perioperative stroke risk assessment and management 243
16 Serum biomarkers in prediction of stroke risk and outcome 257
17 Genetic susceptibility and early stratification of stroke risk 279
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