| Titre : | Prevention of a first stroke : A review of guidelines and a multidisciplinary consensus statement from the National Stroke Association. (1999) |
| Auteurs : | P.B. GORELICK ; M. ALBERTS ; J. BOOSS ; L.M. BRASS ; S. GOLDBERG ; N.L. GREENGOLD ; D.F. HANLEY ; M.E. Malone ; L. MUSTONE-ALEXANDER ; M.N. OZER ; D. RADER ; E. RAPS ; D.C. RHEW ; J.L. ROSS ; R.L. SACCO ; D.B. Smith ; J.F. TOOLE ; Department of Cardiology. University of Pennsylvania Health System. Philadelphia. USA ; Department of Health Services Research. Cedars-Sinai Health System. University of California. Los Angeles School of Medicine. Los Angeles. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 281, n° 12, 1999) |
| Pagination : | 1112-1120 |
| Langues: | Anglais |
| Mots-clés : | Accident cérébrovasculaire ; Conférence consensus ; Prévention santé ; Homme ; Système nerveux [pathologie] ; Vaisseau sanguin encéphale [pathologie] ; Appareil circulatoire [pathologie] ; Vaisseau sanguin [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST AR0x6a2h. Diffusion soumise à autorisation]. Objective To establish, in a single resource, up-to-date recommendations for primary care physicians regarding prevention strategies for a first stroke. Participants Members of the National Stroke Association's (NSA's) Stroke Prevention Advisory Board and Cedars-Sinai Health System Department of Health Services Research convened on April 9,1998, in an open meeting. The conference attendees, selected to participate by the NSA, were recognized experts in neurology (9), cardiology (2), family practice (1), nursing (1), physician assistant practices (1), and health services research (2). Evidence A literature review was carried out by the Department of Health Services Research, Cedars-Sinai Health System, Los Angeles, Calif, using the MEDLINE database search for 1990 through April 1998 and updated in November 1998. English-language guidelines, statements, meta-analyses, and overviews on prevention of a first stroke were reviewed. Consensus Process At the meeting, members of the advisory board identified 6 important stroke risk factors (hypertension, myocardial infarction [Ml], atrial fibrillation, diabetes mellitus, blood lipids, asymptomatic carotid artery stenosis), and 4 life-style factors (cigarette smoking, alcohol use, physical activity, diet). Conclusions Several interventions that modify well-documented and treatable cardiovascular and cerebrovascular risk factors can reduce the risk of a first stroke. (...) |
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