ABSTRACT

KEY POINTS ■ Primary stroke prevention is the single most effective and widely applicable approach in the

management of high-risk patients. ■ Transient ischemic attack is associated with a high early risk (often within two days) of ischemic

stroke and represents a unique opportunity to intervene urgently. ■ Atrial fibrillation and severe carotid stenosis are associated with considerable stroke risk and

warrant specific treatments including anticoagulation (warfarin) and carotid endarterectomy in appropriate cases.