Cilostazol for prevention of secondary stroke
WebAs for statins used as secondary prevention after cerebral infarction, Vergouwen et al 45 previously demonstrated that these drugs increase the risk of cerebral hemorrhage ... Thus, when treating elderly patients to prevent recurrent stroke, cilostazol could be preferentially used if they also have an increased risk of aspiration pneumonia ... WebFeb 15, 2024 · Results The search identified 5 randomized clinical trials comparing cilostazol vs. aspirin for secondary stroke prevention that collectively enrolled 7240 patients, all from Asian countries (3615 ...
Cilostazol for prevention of secondary stroke
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WebIn conclusion, for secondary prevention in patients with stroke at high-risk for stroke recurrence, long-term treatment with a combination of cilostazol with aspirin or clopidogrel had a lower rate of ischaemic stroke and … WebBackground Stroke is one of the leading causes of death worldwide. Cilostazol, an antiplatelet and phosphodiesterase 3 inhibitor, has not been clearly established for ischaemic stroke use. We aim to determine the efficacy and safety of cilostazol for secondary stroke prevention. Methods MEDLINE, EMBASE, Cochrane Library, Web …
WebConclusions: Cilostazol appears effective for long-term secondary stroke prevention without increasing hemorrhage risk. However, most trials related to Asia-Pacific patients … WebAccordingly, cilostazol may have a high potential for secondary stroke prevention even in non-Asian populations, as highlighted by Dr. Noma and colleague in their updated …
WebSep 1, 2024 · Long-term monotherapy was a better choice than long-term dual therapy, and cilostazol had the best risk-benefit profile for long-term secondary prevention after stroke or transient ischemic attack. WebFeb 10, 2024 · The first evidence showing the effectiveness of statins in secondary stroke prevention comes from the SPARCL trial (Stroke Prevention by Aggressive Reduction in Cholesterol Levels), which …
WebDec 20, 2024 · Heart rates should, therefore, be monitored in ischemic stroke patients treated with cilostazol for secondary stroke prevention. This subgroup analysis had several limitations. First, the main trial was performed in 3 Asian countries and enrolled Asian ischemic stroke patients at high risk of cerebral hemorrhage. Caution should thus …
WebJul 10, 2024 · Cilostazol appears effective for long-term secondary stroke prevention without increasing hemorrhage risk. However, most trials … population trends of statesWebOct 8, 2024 · Cilostazol, a phosphodiesterase inhibitor, is known to have pleiotropic effects such as antiplatelet, vasodilating, anti‐inflammatory, and antiatherogenic effects, and protective effects on endothelial function. 17, 18, 19 These effects might contribute to the long‐term stroke prevention and help to avoid bleeding risk. 20, 21 The long ... sharon hamesWebBackground and purpose: Although dual antiplatelet therapy (DAPT) with aspirin and clopidogrel reduces the recurrence of ischemic stroke while significantly increasing the bleeding events compared with monotherapy, the CSPS.com trial (Cilostazol Stroke Prevention Study combination) showed that DAPT using cilostazol was more effective … population tsawwassen bcWebJan 12, 2024 · In 2012, the Secondary Prevention of Small Subcortical Strokes trial showed that, among patients with recent symptomatic lacunar stroke, the addition of clopidogrel to aspirin resulted in an increased risk of bleeding and death without a reduction in risk of recurrent stroke after a mean follow-up of 3.4 years. 3 population trends meaningWebConclusions: Cilostazol demonstrated superior efficacy and safety profiles compared with traditional antiplatelet regimens such as aspirin and clopidogrel for secondary stroke prevention but does not appear to affect functional outcomes. Future randomised trials can be conducted outside East Asia, or compare cilostazol with a wider range of ... sharon hamilton getzWebFeb 15, 2024 · Background: Cilostazol is often used in Asia-Pacific countries for stroke prevention. The current systematic review and meta-analysis aimed to evaluate the effectiveness, safety, and adverse … population trends in indiaWebCilostazol, an antiplatelet drug that increases the cyclic adenosine monophosphate (AMP) levels in platelets via inhibition of cyclic AMP phosphodiesterase, has been used in chronic arterial occlusive disease. ... A placebo-controlled double-blind trial for secondary prevention of cerebral infarction J Stroke Cerebrovasc Dis. 2000 Jul-Aug;9(4 ... population tschechien