Evidence-Based Use of Medical Therapy in Secondary Stroke Prevention

Abdullah Nassief, MBBS, M.D. -- Department of Neurology
Washington University School of Medicine -- Presented August 22, 2006

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Remarks:

The MOSES study was a controlled, multicentre study corresponding to the Prospective, Randomized, Open, Blinded Endpoint (PROBE) design.1 


Inclusion criteria were hypertension requiring treatment, plus cerebral ischaemia/TIA/prolonged reversible ischaemic neurological deficit (PRIND) or intracerebral haemorrhage during the 24 months prior to study enrolment. All patients must have had a cerebral scan or MRI before inclusion, and ambulatory blood pressure measurements (ABPM) before randomization.

The most important exclusion criteria were stenosis of the carotid artery of >70%, severe chronic heart failure, unstable angina, valve disease, age >85 years at the time of cerebral event, and contraindications for eprosartan or nitrendipine.


References

Hansson L, Hedner T, Dahlöf.
Prospective Randomized Open Blinded End-point (PROBE) StudyA novel design for intervention trials.
Blood Press 1992;1:113-119.

Schrader J, Luders S, Kulschewski A, Berger J, Zidek W, Treib J, Einhaupl K, Diener HC, Dominiak P; Acute Candesartan Cilexetil Therapy in Stroke Survivors Study Group
The ACCESS Study: evaluation of Acute Candesartan Cilexetil Therapy in Stroke Survivors.
Stroke. 2003 Jul;34(7):1699-703.
Stroke Trials Directory: ACCESS

 

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