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Ralph L. Sacco answers a
few questions about this month's fast breaking paper in
the field of Clinical Medicine.
From
•>>December 2006
Field:
Clinical Medicine
Article: Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack - A statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke - Co-sponsored by the Council on Cardiovascular Radiology and Intervention - The American Academy of Neurology affirms the value of this guideline.
Authors: Sacco, RL;Adams, R;Albers, G;Alberts, MJ;Benavente, O;Furie, K;Goldstein, LB;Gorelick, P;Halperin, J;Harbaugh, R;Johnston, SC;Katzan, I;Kelly-Hayes, M;Kenton, EJ;Marks, M;Schwamm, LH;Tomsick, T
Journal: STROKE
Volume: 37
Issue: 2
Page: 577-617
Year: FEB 2006
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 Why
do you think your paper is highly cited?
This is the most comprehensive set of evidence-based
recommendations on secondary stroke prevention that exists. Such
statements are becoming increasingly important in the practice
of medicine.
Does
it describe a new discovery, methodology, or synthesis of
knowledge?
These recommendations synthesize the latest evidence on
prevention of recurrent stroke.
Could
you summarize the significance of your paper in layman's terms?
The guidelines help the health care professional decide the
best plan of care to prevent a stroke in transient ischemic
attack (TIA) as well as stroke survivors. They cover issues on
lifestyle modification, the control of blood pressure, blood
sugar, and cholesterol, along with the use of interventional
procedures such as surgery and angioplasty, and numerous
medications that can be chosen to prevent stroke occurrence in a
variety of different clinical circumstances.
How
did you become involved in this research, and were any problems
encountered along the way?
I have been involved with stroke prevention research and the
principal investigator of numerous stroke clinical trials.
Are
there any social or political implications for your research?
There are some new sections in these recommendations which
cover special approaches for implementing guidelines in
high-risk populations whose members have the greatest risk of
stroke—the elderly, African Americans, and Hispanics.
Ralph L. Sacco, M.S. M.D.
Professor of Neurology & Epidemiology
Head, Stroke and Critical Care Division
Associate Chair of Neurology
Columbia University and Mailman School of Public Health
Neurological Institute of the New York Presbyterian Hospital
New York, NY, USA
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ESI Special Topics,
December 2006
Citing URL - http://www.esi-topics.com/fbp/2006/december06-RalphLSacco.html
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