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April 2018

Keeping Faith With Patients After Stroke or Transient Ischemic Attack

Author Affiliations
  • 1Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
JAMA Neurol. 2018;75(4):404-405. doi:10.1001/jamaneurol.2017.4027

I recently recommended statin therapy to a 68-year-old patient, explaining that it would reduce his risk of a major coronary event or stroke in the next 10 years from 18% to 15%. He asked, “But how will we know if it works?” I confessed we never would because success would be an uneventful walk through good health. He was not sold.

As this story shows, prevention can be a hard sell but we all know that it is also the best way to promote the health of individual patients and the population from whence they come.