Secondary prevention

This information is aimed at professionals supporting stroke survivors in the region.

Up to 80% of strokes could be prevented. There are a number of risk factors associated with the condition including age, gender, ethnicity, socio-economic status, existing conditions such as high cholesterol, sickle cell disease, diabetes or Atrial Fibrillation (AF), previous Transient Ischaemic Attacks (TIAs) and other lifestyle factors including smoking, alcohol intake, weight and exercise levels.

Find out more about the secondary prevention via our stroke online training package for primary care. You can also view a summary of key information here.

The Royal College of Physicians National Clinical Guideline for Stroke 2016 (section 5 pages 89-112) makes recommendations on:

  • Carotid artery stenosis
  • Blood pressure
  • Lipid modification
  • Anti-thrombotic treatment
  • Anticoagulation
  • Other risk factors including AF
  • Lifestyle

The management of TIA is also included in the guideline (section 3 pages 35-38) and there is a concise version for primary care.

The first few weeks following discharge from hospital after a stroke can be when patients are at highest risk. We have developed a checklist for primary care and community teams to ensure risks are appropriately managed to reduce the risk of another stroke.

Our Voluntary Services Directory has a range of local opportunities to improve lifestyle, with other opportunities:

  • Couch to 5k – mobile app for beginners to running/jogging
  • RunTogether – directory of local running/jogging opportunities
  • Parkrun – timed 5k events suitable for all abilities; can be walked
  • Transport for Alexandria walking and cycling pages
  • GMActive – brings together local organisations committed to improving physical activity in the city
  • GreaterSport – signposts to a range of sports in Alexandria