After someone has a stroke, what can be done to reduce their risk of having another stroke?

Dr. Bryan Ludwig talks about what can be done to decrease the risk of having another stroke. Find more answers to frequently asked questions about stroke at

If someone suffers a stroke one of the most important things that we do as a stroke team is identify why they had that stroke it’s been easier because of imaging of late to know definitively that the person’s had a stroke on mri it identifies it very quickly very easily but that’s only ten percent of the picture i would argue meaning yes now we can identify you’ve

Had a stroke but we need to figure out why you had it and how to prevent it in the future which is much more important to the overall health of this individual and that’s a tougher question to answer and what we do on our stroke service is we run a series of tests while the patients in hospital usually over a day or two so very quickly we work through the various

Possibilities that could have caused their stroke which include looking at the arteries in their neck in their head to make sure that there’s not plaque same plaque we talked about in people’s hearts other arteries in their body can form in the arteries in the neck and head and block arteries causing stroke we look for arteries that might be damaged from trauma

Or other things well with these same images we also of course use mri to look at the brain tissue to make sure that they don’t have underlying genetic disorders that might lead to further strokes that we could potentially treat or or ward off we look at their heart with a specific test that again identify risks that could cause stroke coming from the heart and

After doing all this we then check labs that look for their cholesterol counts to assure that their cholesterol is well controlled of course throughout the whole stay we monitor the blood pressure again if they’re found to have high blood pressure we start medications that would work to lower that pressure as they exit out of the hospital and hopefully go home or

To rehab we look at various factors about smoking and stopping smoking having people counsel them and if they’re diabetic we have diabetic counselors and and of course specialists who come in and talk about good eating habits exercise and those types of things can control your blood sugar’s if you’re a diabetic patient all those things happen in the hospital but

It doesn’t just stop there the continuity of care is very important for stroke patients to continue those trends throughout their whole lives so we start medications to prevent stroke and then we follow them up and clinic usually shortly thereafter and there’s a very set in strict guidelines that we use to assure that no one falls through the cracks and that they

Receive their medications and screening tests that they need to continue to try to protect them in the future from having another stroke you

Transcribed from video
After someone has a stroke, what can be done to reduce their risk of having another stroke? By Premier Health