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Stroke Prevention: Lessons from the Game of Hockey

Stroke Prevention: Lessons from the Game of Hockey. DJ Sahlas, Adam Steacie, and Donna Gill. Team Stroke. Offensive Line-ups: Hypertension Diabetes Hyperlipidemia Smoking (as well as some first round draft picks … more on them, later). The Home Team. Your Defense: Antihypertensives

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Stroke Prevention: Lessons from the Game of Hockey

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  1. Stroke Prevention:Lessons from the Game of Hockey DJ Sahlas, Adam Steacie, and Donna Gill

  2. Team Stroke • Offensive Line-ups: • Hypertension • Diabetes • Hyperlipidemia • Smoking • (as well as some first round draft picks … more on them, later)

  3. The Home Team • Your Defense: • Antihypertensives • Oral hypoglycemics/insulin • Lipid-lowering agents/statins • Nicotine replacement • Your goalie: • Antiplatelet agent

  4. Promotion of Vascular Health is your Best Defence …(and will reduce dramatically the number of shots on net!)

  5. ASA • No. 81 • CAPRIE: 338/3198 = 10.6% (89.4%) • ESPS2: 206/1649 = 12.5% (87.5%) • ESPRIT: 116/1376 = 8.4% (91.6%) ASA

  6. clopidogrel • No. 75 • CAPRIE: 315/3233 = 9.7% (90.3%) • PRoFESS: 898/10151 = 8.8% (91.2%)

  7. extended release dipyridamole • No. 200/25 bid • ESPS2: 157/1650 = 9.5% (90.5%) • ESPRIT: 96/1363 = 7.0% (93%) • PRoFESS: 916/10181 = 9.0% (91%)

  8. Who’s the best in net?

  9. Who’s the best in net? Kent and Thaler, NEJM 359:1287

  10. Kent and Thaler, NEJM 359:1287

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