1. Guidelines for Prevention of Stroke in Patients with Ischemic Stroke or Transient Ischemic Attack From the Stroke Council of the AHA Ralph L. Sacco, Chair; Robert Adams, Vice-Chair Greg Albers, Mark J. Alberts, Oscar Benavente, Karen Furie, Larry B. Goldstein, Philip Gorelick, Jonathan Halperin, Robert Harbaugh, S. Claiborne Johnston, Irene Katzan, Margaret Kelly-Hayes, Edgar J. Kenton, Michael Marks, Lee H. Schwamm, Thomas Tomsick Stroke 2006;37:577-617

2. Presentation Compiled by the AHA/ASA Professional Education Committee Susan C. Fagan, Chair Deborah Bergman Glenn D. Graham S. Claiborne Johnston Karen Johnston Edgar J. Kenton Dawn Kleindorfer Creed Pettigrew Kathryn Taubert, Staff Scientist Karen Modesitt, Staff 3. Introduction This slide set was adapted from the AHA/ASA Guidelines for Prevention of Stroke in Patients with Ischemic Stroke or Transient Ischemic Attack.From the American Heart Association/American Stroke Association Council on Stroke Co-Sponsored by the Council on Cardiovascular Radiology and Intervention Affirmed by the American Academy of Neurology The full-text guidelines are available on the Web site of the AHA ( www.americanheart.org ) 4. Introduction Since the 1999 AHA Stroke Council guidelines for the secondary prevention of stroke, important evidence from clinical trials has emerged that further supports and broadens the options for aggressive risk reduction therapies. The secondary prevention patient population to be addressed includes those with prior stroke or transient ischemic attack, regardless of etiology. 5. Changes from 1999 Guidelines

1999 guidelines* DID NOT include levels ofevidence

BP targets have been lowered to 120/80

For diabetes, HbA1c