Prevention and Treatment of Ischemic Stroke

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Grading Key ★★★★★ = outstanding; ★★★★ = excellent; ★★★ = good; ★★ = fair; = poor. Book Review © 2004 Mayo Foundation for Medical Education and Research Prevention and Treatment of Ischemic Stroke, edited by Scott E. Kasner and Philip B. Gorelick, 416 pp, with illus, $99, Newton, Mass, Butterworth-Heinemann (telephone: 800-366- 2665), 2004, ISBN 0-7506-7464-4 Type and Scope of Book: A comprehensive multiauthored review of the treatment and secondary prevention of acute ischemic stroke. Contents: In this 19-chapter text, the editors have compiled a review of acute ischemic stroke treatment and secondary pre- vention measures, including a discussion of thrombolytics, antithrombotics, and risk factor modification. The first 2 chap- ters provide an introductory overview. Chapters 3 through 8 discuss particular mechanisms of ischemic stroke (cardioembolic, large-vessel atherosclerosis, small-vessel dis- ease, etc) and review diagnosis and evidence-based treatment data. Chapters 9 and 10 address secondary prevention of is- chemic stroke, including the use of antithrombotics and ath- erosclerotic risk factor modification. The second half of the text focuses on the management of acute ischemic stroke. A practical review of clinical and diagnostic evaluation leads into a chapter that extensively reviews thrombolytic therapy. Strengths: The text is very readable. Many chapters present evidence-based data that are remarkably up-to-date and com- prehensive. The second half of the book, devoted to acute ischemic stroke management, provides both evidence-based recommendations and practical advice on the approach to affected patients. Deficiencies: In multiauthored texts, the contributors bring various styles to individual chapters, which can have both positive and negative effects. While most chapters in this book provide evidence-based information and practical recommen- dations, some chapters lack practical advice that practitioners need when data are conflicting. In addition, coagulation disor- ders, genetic causes of ischemic stroke, and nonvasculitic arteriopathies seem to be underrepresented, although they are uncommon in the general population as well. Recommended Readership: Neurologists or internists who treat patients with ischemic stroke. Overall Grading: ★★★★ Kelly D. Flemming, MD, Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minn For personal use. Mass reproduce only with permission from Mayo Clinic Proceedings.

Transcript of Prevention and Treatment of Ischemic Stroke

Grading Key★★★★★ = outstanding; ★★★★ = excellent; ★★★ = good;★★ = fair; ★ = poor.

Book Review

© 2004 Mayo Foundation for Medical Education and Research

Prevention and Treatment of Ischemic Stroke, edited byScott E. Kasner and Philip B. Gorelick, 416 pp, with illus, $99,Newton, Mass, Butterworth-Heinemann (telephone: 800-366-2665), 2004, ISBN 0-7506-7464-4

Type and Scope of Book: A comprehensive multiauthoredreview of the treatment and secondary prevention of acuteischemic stroke.Contents: In this 19-chapter text, the editors have compiled areview of acute ischemic stroke treatment and secondary pre-vention measures, including a discussion of thrombolytics,antithrombotics, and risk factor modification. The first 2 chap-ters provide an introductory overview. Chapters 3 through 8discuss particular mechanisms of ischemic stroke(cardioembolic, large-vessel atherosclerosis, small-vessel dis-ease, etc) and review diagnosis and evidence-based treatmentdata. Chapters 9 and 10 address secondary prevention of is-chemic stroke, including the use of antithrombotics and ath-erosclerotic risk factor modification. The second half of thetext focuses on the management of acute ischemic stroke. Apractical review of clinical and diagnostic evaluation leadsinto a chapter that extensively reviews thrombolytic therapy.Strengths: The text is very readable. Many chapters presentevidence-based data that are remarkably up-to-date and com-prehensive. The second half of the book, devoted to acuteischemic stroke management, provides both evidence-basedrecommendations and practical advice on the approach toaffected patients.Deficiencies: In multiauthored texts, the contributors bringvarious styles to individual chapters, which can have bothpositive and negative effects. While most chapters in this bookprovide evidence-based information and practical recommen-dations, some chapters lack practical advice that practitionersneed when data are conflicting. In addition, coagulation disor-ders, genetic causes of ischemic stroke, and nonvasculiticarteriopathies seem to be underrepresented, although they areuncommon in the general population as well.Recommended Readership: Neurologists or internists whotreat patients with ischemic stroke.Overall Grading: ����

Kelly D. Flemming, MD, Department of Neurology, MayoClinic College of Medicine, Rochester, Minn

For personal use. Mass reproduce only with permission from Mayo Clinic Proceedings.