A new paradigm for primary prevention strategy in people with elevated risk of stroke

Authors

  • Valery L. Feigin,

    Corresponding author
    1. National Institute for Stroke and Applied Neurosciences, Faculty of Health and Environmental Studies, AUT University, Auckland, New Zealand
    • Correspondence: Valery L Feigin, National Institute for Stroke and Applied Neurosciences, School of Rehabilitation and Occupation Studies, School of Public Health and Psychosocial Studies, Faculty of Health and Environmental Studies, AUT University, AUT North Shore Campus, AA254, 90 Akoranga Dr, Northcote 0627, Private Bag 92006, Auckland 1142, New Zealand.

      E-mail: valery.feigin@aut.ac.nz

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  • Bo Norrving

    1. Department of Clinical Sciences, Section of Neurology, Lund University, Lund, Sweden
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  • Conflict of interest: Valery Feigin designed/authored the Stroke Riskometer. Bo Norrving declares no conflict of interest.

Abstract

Existing methods of primary stroke prevention are not sufficiently effective. Based on the recently developed Stroke Riskometer app, a new ‘mass-elevated risk stroke/cardiovascular disease prevention’ approach as an addition to the currently adopted absolute risk stroke/cardiovascular disease prevention approach is being advocated. We believe this approach is far more appealing to the individuals concerned and could be as efficient as the conventional population-based approach because it allows identification and engagement in prevention of all individuals who are at an increased (even slightly increased) risk of stroke and cardiovascular disease. The key novelty of this approach is twofold. First, it utilizes modern far-reaching mobile technologies, allowing individuals to calculate their absolute risk of stroke within the next 5 to 10 years and to compare their risk with those of the same age and gender without risk factors. Second, it employs self-management strategies to engage the person concerned in stroke/cardiovascular disease prevention, which is tailored to the person's individual risk profile. Preventative strategies similar to the Stroke Riskometer could be developed for other non-communicable disorders for which reliable predictive models and preventative recommendations exist. This would help reduce the burden of non-communicable disorders worldwide.

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