Secondary
PREVENTION

Including secondary prevention in national stroke plans with follow-up in primary/community care

Ensuring that at least 90% of the stroke population is seen by a stroke specialist and have access to secondary prevention management (investigation and treatment).

Ensure access to key investigational modalities: CT (or MR) scanning, carotid ultrasound, ECG, 24-hour ECG, echocardiography (transthoracic and transoesophageal), blood tests (lipids, glucose, HbA1c, coagulation, erythrocyte sedimentation rate, C-reactive protein, autoantibodies).

Ensuring access to key preventative strategies: lifestyle advice, antihypertensives, lipid lowering agents, antiplatelets, anticoagulants, oral hypoglycaemic agents and insulin, carotid endarterectomy, and PFO closure.