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ESOC 2025 | Non-pharmacological approaches for secondary stroke prevention

Valeria Caso, MD, PhD, FESO, Santa Maria Della Misericordia Hospital, University of Perugia, Perugia, Italy, discusses the use of non-pharmacological strategies in stroke prevention, highlighting the role of devices such as left atrial appendage occlusion and stenting. She stresses the need for a holistic approach to promote recovery and prevention, as lifestyle changes are crucial in preventing further strokes. This interview took place at the 11th European Stroke Organisation Conference (ESOC) in Helsinki, Finland.

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Transcript

The non-pharmacological strategies can be different. There can be devices, for example, as left atrial appendage occlusion in patients with atrial fibrillation. And for example, if the patient cannot perform any kind of treatment, for example also in asymptomatic stenosis you can on top of treatment you can perform a stenting of the carotid. But what we learned over the years that it’s important about the care because now the patient they have to learn that they have to take care of their bodies so it’s about a holistic approach...

The non-pharmacological strategies can be different. There can be devices, for example, as left atrial appendage occlusion in patients with atrial fibrillation. And for example, if the patient cannot perform any kind of treatment, for example also in asymptomatic stenosis you can on top of treatment you can perform a stenting of the carotid. But what we learned over the years that it’s important about the care because now the patient they have to learn that they have to take care of their bodies so it’s about a holistic approach. So they have to do physical exercise because we know that physical exercise reduces the risk of stroke, dementia, and depression. And we can give as many treatments as we want, but there will not be a recovery from a stroke and there will not be enough prevention because if you continue to have a bad lifestyle, then clearly you will have a second stroke, a third stroke and so on. So we have more and more devices on top of treatment, pharmacological treatment, and we are pushing more and more about responsibility and how to learn how to treat patients with previous stroke.

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