2024 Guideline for the Primary Prevention of Stroke: A Guideline From the American Heart Association/American Stroke Association

AIM: The "2024 Guideline for the Primary Prevention of Stroke" replaces the 2014 "Guidelines for the Primary Prevention of Stroke." This updated guideline is intended to be a resource for clinicians to use to guide various prevention strategies for individuals with no history of...

Full description

Saved in:
Bibliographic Details
Published inStroke (1970) Vol. 55; no. 12; pp. e344 - e424
Main Authors Bushnell, Cheryl, Kernan, Walter N., Sharrief, Anjail Z., Chaturvedi, Seemant, Cole, John W., Cornwell, William K., Cosby-Gaither, Christine, Doyle, Sarah, Goldstein, Larry B., Lennon, Olive, Levine, Deborah A., Love, Mary, Miller, Eliza, Nguyen-Huynh, Mai, Rasmussen-Winkler, Jennifer, Rexrode, Kathryn M., Rosendale, Nicole, Sarma, Satyam, Shimbo, Daichi, Simpkins, Alexis N., Spatz, Erica S., Sun, Lisa R., Tangpricha, Vin, Turnage, Dawn, Velazquez, Gabriela, Whelton, Paul K.
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.12.2024
Subjects
American Heart Association
Humans
Primary Prevention - methods
Primary Prevention - standards
Risk Factors
Stroke - prevention & control
United States
United States
hemorrhagic stroke
stroke
ischemic stroke
guideline
AHA Scientific Statements
Online AccessGet full text

Cover

More Information
Summary:AIM: The "2024 Guideline for the Primary Prevention of Stroke" replaces the 2014 "Guidelines for the Primary Prevention of Stroke." This updated guideline is intended to be a resource for clinicians to use to guide various prevention strategies for individuals with no history of stroke. METHODS: A comprehensive search for literature published since the 2014 guideline; derived from research involving human participants published in English; and indexed in MEDLINE, PubMed, Cochrane Library, and other selected and relevant databases was conducted between May and November 2023. Other documents on related subject matter previously published by the American Heart Association were also reviewed. STRUCTURE: Ischemic and hemorrhagic strokes lead to significant disability but, most important, are preventable. The 2024 primary prevention of stroke guideline provides recommendations based on current evidence for strategies to prevent stroke throughout the life span. These recommendations align with the American Heart Association's Life's Essential 8 for optimizing cardiovascular and brain health, in addition to preventing incident stroke. We also have added sex-specific recommendations for screening and prevention of stroke, which are new compared with the 2014 guideline. Many recommendations for similar risk factor prevention were updated, new topics were reviewed, and recommendations were created when supported by sufficient-quality published data.
Bibliography:Endorsed by the Preventive Cardiovascular Nurses Association and the Society for Vascular Surgery The American College of Obstetricians and Gynecologists supports the value of this clinical document as an educational tool The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists Supplemental Material is available at https://www.ahajournals.org/doi/suppl/10.1161/STR.0000000000000475. Peer Review Committee and AHA Stroke Council Scientific Statement Oversight Committee members, see page e398. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. This guideline was approved by the American Heart Association Science Advisory and Coordinating Committee on July 2, 2024, and the American Heart Association Executive Committee on August 5, 2024. A copy of the document is available at https://professional.heart.org/statements by using either "Search for Guidelines & Statements" or the "Browse by Topic" area. To purchase additional reprints, call 215-356-2721 or email Meredith.Edelman@wolterskluwer.com The American Heart Association requests that this document be cited as follows: Bushnell C, Kernan WN, Sharrief AZ, Chaturvedi S, Cole JW, Cornwell WK 3rd, Cosby-Gaither C, Doyle S, Goldstein LB, Lennon O, Levine DA, Love M, Miller E, Nguyen-Huynh M, Rasmussen-Winkler J, Rexrode KM, Rosendale N, Sarma S, Shimbo D, Simpkins AN, Spatz ES, Sun LR, Tangpricha V, Turnage D; Velazquez G, Whelton PK. 2024 Guideline for the primary prevention of stroke: a guideline from the American Heart Association/American Stroke Association. Stroke. 2024;55:e344-e424. doi: 10.1161/STR.0000000000000475 The expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines, systematic reviews) is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit https://professional.heart.org/statements. Select the "Guidelines & Statements" drop-down menu, then click "Publication Development." Permissions: Multiple copies, modification, alteration, enhancement, and distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at https://www.heart.org/permissions. A link to the "Copyright Permissions Request Form" appears in the second paragraph (https://www.heart.org/en/about-us/statements-and-policies/copyright-request-form).
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Instructional Material/Guideline-3
ObjectType-Review-4
content type line 23
ISSN:0039-2499
1524-4628
1524-4628
DOI:10.1161/STR.0000000000000475