engleski

What is new in the guidelines for ischemic stroke management.

Stroke guidelines have been proposed in diff erent countries with the aim of improving the management of patients. Nevertheless, translation of guidelines into clinical practice remains a challenge. The aim of this review is to present current ischemic stroke management and prevention guidelines and to emphasize the novelties which were included into the guidelines in the last few years. Important fi ndings in recent clinical trials and studies of the updates of European and especially American guidelines showed many new or revisited recommendations in the guidelines. Major remarks are that the emergency evaluation and management in the acute phase of stroke is very important, especially in terms of performing intravenous thrombolysis that should be followed with endovascular treatment in selected patients. In stroke prevention, there are important changes in atrial fi brillation management, primarily regarding the introduction of the novel (direct) oral anticoagulants. A major novelty in the most recent guidelines relates to non-pharmacological stroke prevention by the inclusion of the Mediterranean diet.

guidelines, stroke

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