Secondary Prevention of Ischemic Stroke in the Outpatient Stage

Abstract

An assessment of the quality of basic pharmacotherapy in patients with ischemic stroke and an analysis of the frequency and nature of cardiovascular complications according to prospective follow-up data was carried out. The study included 114 patients with acute ischemic stroke and sinus rhythm. After discharge from the hospital, a telephone survey was used to assess patients' adherence to medication and the frequency of cardiovascular complications was recorded. The prospective follow-up period was 21 months (15 months; 44 months). Cardiovascular complications were observed in 33 patients (21%), of which 11 (8%) were fatal. These 11 patients were older than the rest, had a greater number of repeated ischemic strokes, more stable forms of coronary heart disease (post-infarction cardiosclerosis, angina pectoris), a higher risk of cardiovascular complications on the ESRS scale and a smaller amount of treatment with diuretics, antithrombotic drugs, especially indirect anticoagulants (p<0.05).