New Horizons in Ischaemic Stroke among Older People
Pp. 92-106 (15)
Tuck Yean Yong and Kareeann Sok Fun Khow
The incidence and prevalence of ischaemic stroke increase substantially with
age. In addition, clinical outcomes after a stroke are influenced significantly by age.
Risk factor profiles for ischaemic stroke differ between young and older patients.
Furthermore older patients with ischaemic stroke often receive less effective treatment
and experience poorer outcomes than the younger population. For those who survive an
acute ischaemic stroke, a comprehensive approach involving lifestyle modifications,
antiplatelet or anticoagulant therapy, blood-pressure control, cholesterol-lowering and
carotid artery stenosis intervention where applicable, is effective in reducing the risk of
recurrent stroke. Long-term rehabilitation and supportive care is critical in the
management of older people after an acute ischaemic stroke. Future research is still
needed to reduce the incidence of ischaemic stroke and improve outcomes in the older
Anticoagulant, Antiplatelet therapy, Carotid artery stenosis,
Hypertension, Older, Rehabilitation, Risk factors, Secondary prevention, Stroke.
Internal Medicine, Flinders Private Hospital, Flinders Drive, Bedford Park, South Australia 5042, Australia.