2014 Chinese guidelines for secondary prevention of ischemic stroke and transient ischemic attack

So rather than do anything like getting survivors to 100% recovery they take the easy way out and focus on prevention.  Nothing on any diet protocols for stroke prevention.
http://journals.sagepub.com/doi/full/10.1177/1747493017694391?utm_source=Adestra&utm_medium=email&utm_content=What%20are%20the%20latest%20recommendations%20for%20the%20secondary%20prevention%20of%20ischemic%20stroke%20In%20China%3F&utm_campaign=7JA003A&utm_term=

Compiled by the Chinese Society of Neurology, Cerebrovascular Disease Group

Yongjun Wang, Ming Liu, Chuanqiang Pu

First Published March 6, 2017 Research Article

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Abstract

Ischemic stroke and transient ischemic attack (TIA) are the most common cerebrovascular disorder and leading cause of death in China. The Effective secondary prevention is the vital strategy for reducing stroke recurrence. The aim of this guideline is to provide the most updated evidence-based recommendation to clinical physicians from the prior version. Control of risk factors, intervention for vascular stenosis/occlusion, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke are all recommended, and the prevention of recurrent stroke in a variety of uncommon causes and subtype provided as well. We modified the level of evidence and recommendation according to part of results from domestic RCT in order to facility the clinical practice.

Keywords Stroke, Chinese, neurology, secondary prevention, transient ischemic attack, recommendations

Introduction

Ischemic stroke and transient ischemic attack are common cerebrovascular diseases. In China, approximately 70%¹ of patients with stroke are caused by ischemia. Recent data showed that the annual recurrence rate of ischemic stroke has reached up to 17.7%.² Therefore, effectively preventing secondary stroke can reduce stroke recurrence and related mortality. After the “Guidelines for Secondary Prevention of Ischemic Stroke and Transient Ischemic Attack in China, 2010”³ was published, new evidence has emerged. In order to standardize the clinical practice of secondary prevention of stroke or transient ischemic attack in China, the 2010 Chinese guidelines have been revised and updated to the 2014 version. The purpose of this updated guideline is to help neurologists make appropriate decisions for their stroke or transient ischemic attack patients in order to prevent another stroke and transient ischemic attack. The grades of levels of recommendations and evidences have been defined in Table 1.

Table 1. The definitions of the grades of recommendations and evidences