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2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack
Published: May 24, 2021

- This guideline provides clinicians with evidence-based recommendations for the prevention of future stroke among survivors of ischemic stroke or Transient Ischemic Attack (TIA).
- The guideline is divided into four sections:
- Diagnostic evaluation for secondary stroke prevention
- Vascular risk factor management
- Management by etiology and
- Systems of care for secondary ischemic stroke prevention.
- It is essential for clinicians to collaboratively develop care plans with patients, incorporating patients’ wishes, goals, and concerns.
Supporting Materials
- Top Things to Know: 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack
- Systematic Review:: Benefits and Risks of Dual Versus Single Antiplatelet Therapy for Secondary Stroke Prevention
- News Release: Risk of second stroke can be reduced with prevention efforts based on cause of first stroke
Related Resources
- Clinical Update: 2021 Guideline for the Prevention of Stroke in Patients With Stroke and TIA Slide Deck
Presentation-ready PPT on clinical guidelines to use for your unique teaching and learning needs.
Download customizable Clinical Update PowerPoint (PPTX) - Webinar: Secondary Stroke Prevention: Evidence-based Recommendations
Join moderator Joe Broderick, MD, FAHA, writing group chair Dawn Kleindorfer, MD, FAHA, and vice chair Amytis Towfighi MD, FAHA for a discussion of the new guideline recommendations and what they mean for clinical practice.
View the webinar
Recommended Reading
- Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack
- Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke
- 2019 Focused Update of the 2014 Guideline for the Management of Patients With Atrial Fibrillation
- Guidelines for the Prevention of Stroke in Women
- Guidelines for the Primary Prevention of Stroke
- 2020 Guideline for the Management of Patients With Valvular Heart Disease
- 2017 Hypertension Clinical Guidelines
- 2019 Guideline on the Primary Prevention of Cardiovascular Disease
- 2018 Guideline for the Management of Adults With Congenital Heart Disease
- Recent Innovations, Modifications, and Evolution of ACC/AHA Clinical Practice Guidelines: An Update for Our Constituencies
- 2018 Guideline on the Management of Blood Cholesterol