{"id":"6ade4d705dc6","type":"article","url":"https://hartvaat.nl/2026/02/19/secundaire-preventie-na-ischemisch-cva-overzicht-uit-het-nejm/","title":"Secundaire preventie na ischemisch CVA: overzicht uit het NEJM","title_en":"Secondary Prevention after Ischemic Stroke.","category":"preventie","category_label":"Preventie","professions":["cardioloog","huisarts","internist"],"tags":["anticoagulatie-kwetsbare-ouderen"],"journal":"The New England journal of medicine","doi":"10.1056/NEJMcp2415601","source_url":"https://doi.org/10.1056/NEJMcp2415601","authors":["Karen L Furie","Peter J Kelly"],"significance":8,"published":"2026-02-19","source_date":"2026-02-19","image":"","kennis":[],"congress":"","summary_en":"This NEJM review provided a comprehensive update on secondary prevention after ischemic stroke, covering modifiable risk factors, mechanism-specific therapies, and contemporary evidence on anticoagulation, antiplatelet therapy, and lipid lowering for recurrent stroke prevention.","created":"2026-07-03T10:25:04Z","updated":"2026-07-03T13:24:32Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Dit NEJM-overzichtsartikel bespreekt de aanpak van secundaire preventie na een ischemisch herseninfarct. Het risico op recidief kan worden verlaagd door aanpak van modificeerbare risicofactoren en mechanisme-specifieke strategieën, die zo vroeg mogelijk moeten worden gestart.","abstract_original":"The risk of recurrent ischemic stroke can be reduced by managing modifiable risk factors and instituting a regimen of mechanism-specific secondary stroke prevention. Strategies for secondary prevention should be instituted as early as possible. Poststroke monitoring of risk metrics, lifestyle behaviors, and medication recommendations is of key importance."}