Secondary prevention of stroke

Patients who have already suffered a stroke or transient ischaemic attack (TIA) are 10–15 times more likely than the general population to have another episode in the following year. The risk is greatest soon after the first event. This article describes approaches to secondary prevention of stroke, outlining specific lifestyle changes and treatment options that can lower a patient's risk. The specialist stroke nurse plays a central role in the successful implementation of these strategies, particularly with regard to patient education, monitoring and compliance.