Stroke, follow up
Lacunar infarct
- usually minimal cognitive problem, no visual field defect
Rx Diabetes, Hypertension Antiplatelet,
best aggrenoxx = asa 25 mg + persantin 200 bid
Statin lipitor 40-80 mg qd
Large vessel disease
-antiplatelet, statin
Intracranial high grade stenosis, consider double antiplatelet for 90 days
Carotid stenosis over 70 pc, consider endarterectomy
Cardiogenic emboli
-atrial fibrillation Warfarin, noac
Idiopathic
consider event monitor
Index