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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prognosis

Recurrent stroke

Recurrent strokes are common a b though the risk is lower for patients with a TIA or minor stroke. a

Note:

  • A fifth of patients with a first stroke will have another within 5 years (20%: 95% CI: 17% to 23%) b
  • 10% of patients with an ischaemic stroke will have another stroke within 13 months (95% CI: 8.5% to 12%). a 22% will have had another stroke at 5 years (95% CI: 18% to 27%) a b
  • 12% of patients with a minor stroke will have a major stroke within 10 years (95% CI: 8% to 15%). a 27% of patients will have a recurrent stroke or die within 2 years (95% CI: 20% to 34%). a
  • One in thirty patients aged 15 to 44 with a first stroke or TIA have another within 8 years (3.0%: 95% CI: 1.2% to 4.9%). b

Stroke subtypes help predict risk of recurrent stroke

Stroke subtype a recurrent stroke at 1 year
LACI 9% 
(4% to 14%)
PACI 6% 
(2% to 12%)
PACI 17% 
(12% to 23%)
POCI 20% 
(13% to 27%)

The cause of stroke can help predict recurrent stroke 

Presumed cause a recurrent stroke at 5 years
atherosclerosis 40%
(28% to 55%)
cardioembolic 32%
(18% to 47%)
lacunar 25%
(14% to 39%)
unknown 33%
(24% to 42%)

 

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball