The World Stroke Organization’s Declaration for worldwide primary stroke and dementia prevention

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Abstract

Сurrent strategies of primary stroke and cardiovascular disease prevention are aimed at addressing the main risk factors primarily in patients with higher cardiovascular disease risk. Since the number of people with incident stroke and ischaemic heart disease cases is rapidly growing across all countries of the world, this preventive strategy appears to be not sufficiently effective. World Stroke Organization recently (2020) endorsed a different concept of stroke and dementia prevention based on a population-wide approach to dealing with risk factors, which involves all individuals regardless of their cardiovascular disease risk level. This article describes four main primary prevention strategies suggested by the World Stroke Organization to effectively reduce stroke and dementia incidence by 50% and 30% respectively. These strategies include (1) population-wide prevention; (2) polypill therapy; (3) free e-Health application “Stroke Riskometer”; and active engagement of community health workers.

About the authors

Michael Brainin

Danube University Krems

Author for correspondence.
Email: platonova@neurology.ru
Austria

Valery l Feigin

Auckland University of Technology, Auckland

Email: platonova@neurology.ru
New Zealand

Bo Norrving

Lund University, Lund

Email: platonova@neurology.ru
Sweden

Sheila C.O. Martins

Hospital de Clínicas de Porto Alegre

Email: platonova@neurology.ru
Brazil

Graeme J. Hankey

The University of Western Australia, Perth

Email: platonova@neurology.ru
Australia

Vladimir Hachinski

Western University, Ontario

Email: platonova@neurology.ru
Canada

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Copyright (c) 2020 Brainin M., Feigin V.l., Norrving B., Martins S.C., Hankey G.J., Hachinski V.

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