AAN 2026 | The need for further research on digital health interventions for secondary stroke prevention
Shervin Badihian, MD, Cleveland Clinic, Cleveland, OH, discusses the need for further research on the use of digital health interventions for secondary stroke prevention. Dr Badihian mentions ongoing studies using digital tools to detect conditions such as atrial fibrillation and monitor sleep quality, which could be integrated into a comprehensive care model. This interview took place at the 78th American Academy of Neurology (AAN) Annual Meeting in Chicago, IL.
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Transcript
I feel the secondary stroke prevention is generally an area that is not studied that much compared to the other phases of a stroke. Most of the research that I’ve seen in the digital health world, including those at AAN, are focusing on the hyperacute phase of a stroke, like whether it’s a stroke detection or how to manage a stroke in the acute phase. And some of them are like how to predict someone is about to have a stroke as compared to the secondary prevention when you want to mostly focus on the recovery and prevention of recurrence...
I feel the secondary stroke prevention is generally an area that is not studied that much compared to the other phases of a stroke. Most of the research that I’ve seen in the digital health world, including those at AAN, are focusing on the hyperacute phase of a stroke, like whether it’s a stroke detection or how to manage a stroke in the acute phase. And some of them are like how to predict someone is about to have a stroke as compared to the secondary prevention when you want to mostly focus on the recovery and prevention of recurrence. There are some tools, some studies on recovery of a stroke and improve the recovery or rehabilitation. Well, I think the prevention part, which is not to let the person have another recurrence or decrease the chances of having a recurrence, is still an area that needs to be studied much more. But there are ongoing studies that are using these tools for other purposes, not just blood pressure, but also to detect, for example, atrial or undetected atrial fibrillations or other arrhythmias that may need more management, as well as studies on the quality of sleep or how sleep arrangements precede having an acute stroke, which could be also meaningful in the future when integrated all together into a one care model.
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