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February 4, 2004

The Challenge of Stroke Prevention

Author Affiliations

Author Affiliation: Division of Brain Injury Outcomes, Johns Hopkins Medical Institutions, Baltimore, Md.

JAMA. 2004;291(5):621-622. doi:10.1001/jama.291.5.621

Stroke prevention represents a critical health challenge. The demographics of aging and the association of stroke with aging bring together factors that compel a concerted effort to limit the individual and societal risks of a worldwide epidemic of stroke.1 As a disease, stroke functions on 2 biological frontiers: aging and brain vascular function. Society has recognized the epidemic of atherosclerotic vascular disease for the last 4 decades and has begun to deal with the cardiac consequences of atherosclerosis. These efforts are apparent in the public domain and in the physician's office. Multiple acute interventions and prevention programs are available to limit acute disease and delay or reverse coronary artery narrowing and help prevent progression to subsequent myocardial infarctions.

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