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How can I reduce my risk of stroke?

Quick answer

Stroke prevention starts with blood-pressure control and avoiding smoking, alongside appropriate treatment for diabetes, cholesterol and atrial fibrillation. Activity and a balanced diet also help. Aspirin or anticoagulants are not automatic choices for everyone; benefits must be weighed against bleeding risk.

Details

Identify treatable risks

High blood pressure can be symptom-free, making recommended checks and follow-up useful. Take prescribed treatment and discuss unstable readings. Reduce salt and highly processed foods, build regular activity suited to your ability, and seek practical support to stop smoking.

If you have atrial fibrillation

This rhythm disorder can allow clots to form. A clinician weighs several factors when deciding whether anticoagulation is needed. Aspirin is not an automatic substitute. Do not change doses or stop treatment without an agreed plan.

After a stroke or transient attack

Prevention depends on identifying the cause, such as an artery problem or rhythm disorder, and arranging tailored treatment and follow-up. Someone else’s prescription may be inappropriate for you. Lowering risk does not remove the need for emergency help if sudden neurological symptoms occur.

Related reading: What are the signs of a stroke, and what should I do immediately?.

Note: This answer is for educational purposes and does not replace a consultation with a specialist who examines your case in person. Do not use it for self-diagnosis.

References

  1. Preventing stroke — CDC
  2. Atrial fibrillation treatment — NHLBI / NIH
  3. 2024 guideline for primary prevention of stroke — American Heart Association