How to reduce the risk of stroke recurrence

Stroke can recur very high, especially in the first 3 months, to reduce the risk should control blood pressure, reduce blood fat, quit smoking…

My father had an atherosclerotic stroke half a year ago and had to be treated for 3-4 months in a row. He is now much better, but his mouth is still slightly distorted. I heard that people who have had a stroke have a very high risk of recurrence. Is this correct, doctor? What should my father do to reduce his risk of stroke recurrence and help him get better? (Kim Huyen, Binh Duong)


Many studies show that, after a person has a stroke, the risk of recurrence is often very high, especially in the first 3 months from the date of the first stroke. The estimated stroke recurrence rate is about 25% in the first 5 years. If the cause of a stroke is in a dangerous group, this rate will be higher. In patients with severe atherosclerosis of the cerebral arteries, the risk of recurrence can be as high as 20% within the first year.

According to data from the National Institute of Neurological Disorders and Stroke (NINDS), about 200,000 strokes each year in the United States occur in people who have had the condition before. Therefore, prevention aimed at reducing the risk of recurrence is very important. Patients need to adhere to the treatment prescribed by the doctor, including drugs to reduce atherosclerosis, antiplatelet drugs, anticoagulants and drugs to control risk factors such as high blood pressure. pressure, diabetes…

Other medications can help patients improve mentally and emotionally after a stroke. Patients need to maintain long-term preventive medications, should not stop taking them without consulting a doctor, and have regular check-ups.

People who have had a stroke for the first time are at risk of recurrence if not treated and prevented. Image: Shutterstock

Stroke is preventable by closely controlling the risk factors and causes of this condition. No one can guarantee that a recurrent stroke won’t happen, but this chance can be markedly reduced with proper treatment. Patients should adhere to lifestyle adjustments combined with pharmacological interventions including:

Control high blood pressure (hypertension): High blood pressure is the highest risk factor for stroke. Stroke survivors need to be monitored by a doctor and have their blood pressure returned to normal. You may need to change your diet and/or take prescribed medications to bring your blood pressure back to a target level.

Quit smoking: Smoking significantly increases the risk of stroke and is associated with the accumulation of plaque in the arteries. Tobacco also raises blood pressure and makes the blood thicker and easier to clot.

Exercise regularly and maintain your weight: Obesity and physical inactivity have been linked to high blood pressure, diabetes, and heart disease. Being overweight increases your chances of having an ischemic stroke.

Lowers blood fat (cholesterol) levelsHigh cholesterol can lead to the accumulation of fatty substances (atherosclerosis) in the blood vessels, reducing the amount of blood and oxygen reaching the brain.

Heart disease checkCommon heart disorders can lead to blood clots that block blood vessels in the brain. In this case, you may need medication to prevent blood clots from forming.

Diabetes ManagementDiabetes: Diabetes can cause destructive changes in blood vessels throughout the body, including the brain. Brain damage is often more severe and widespread when blood sugar is high. Treating diabetes can delay the onset of complications that increase the likelihood of stroke.

Through the information analyzed above, I hope you and your family will have more useful ways to take care of your three best health.

Master, Doctor Phan Thi Ngoc Loi
Department of Neurology, Tam Anh General Hospital in Ho Chi Minh City


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