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Stable Stroke Patients More Likely to Die From a Nonstroke Cardiovascular Event Than a Further Stroke
Date:5/15/2008

t risk of dying from a non-stroke CV event. Prevalence of risk factors, co-morbidities, utilization of secondary prevention therapies and adherence to guidelines all influence the recurrent event rate. The two-year data show that the risk for further atherothrombotic events remains high in this stable population. TIAs often trivialized as 'mini-strokes' with a good prognosis that could be treated on an outpatient basis have nearly as high risk for future atherothrombotic events as stroke patients. Undertreatment is common worldwide and adherence to guidelines needs to be enforced to prevent deaths from heart disease and stroke," said Dr. Joachim Rother, Professor of Neurology at the Department of Neurology, Minden Hospital at the University of Hannover Medical School in Minden, Germany.

CVD is heterogeneous with large carotid and intracranial arterial disease accounting for about 20-30% of all ischemic strokes. Other causes include cardioembolism (25%), microangiopathy (20%), and cryptogenic stroke.(1,2) High blood pressure is a risk factor strongly associated with stroke. CVD is a global health problem and the incidence of stroke is increasing worldwide.

This underscores the very high risk factor profile and high percentage of CVD patients with additional atherothrombotic disease manifestations in the REACH Registry which was first published last month in Cerebrovascular Diseases.(3)

"The REACH Registry continues to demonstrate the real-world burden of atherothrombotic disease worldwide. In the case of CVD, further analysis has re-emphasized the need for doctors to adhere to evidence-based guidelines for treatment such as long-term antiplatelet therapy or antihypertensive treatment," said Dr. Gabriel Steg, Professor of Cardiology at Hopital Bichat-Claude Bernard, Paris, on behalf of the REACH Registry's Scientific Council.

In addition to this analysis, REACH investigators presented a poster during the European Stroke Conference 2008 on t
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SOURCE REACH Registry
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