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. 2021 Jan 13;47(3):21. doi: 10.3892/ijmm.2021.4854

Table V.

Methods for the prevention of acute ischemic stroke.

Population in question Current recommendation Potential drugs for research
General population without risk of COVID-19 Regular physical activity, consumption of sufficient water/liquids, low-fat diet, low-salt diet None
Asymptomatic patients screened positive for SARS-CoV-2 No prophylaxis, regular physical activity, consumption of sufficient water/liquids, low-fat diet, low-salt diet DOACs, aspirin, clopidogrel
COVID-19 patients being managed at the outpatient clinic Individual risk assessment for AIS, regular physical activity, consumption of sufficient water/liquids, low-fat diet, low-salt diet DOACs, aspirin, clopidogrel
COVID-19 patients admitted to hospital in non-ICU setting Prophylactic LMWH if not contraindicated, consumption of sufficient water/liquids, low-fat diet, low-salt diet DOACs, aspirin, clopidogrel, Tpa, tocilizumab, dornase alfa, pirfenidone, tiotropium, colchicine, eculizumab, HrsACE2
Severe COVID-19 patients requiring ICU Prophylactic LMWH if not contraindicated Tpa, tocilizumab, dornase alfa, pirfenidone, tiotropium, colchicine, eculizumab, HrsACE2
Discharged COVID-19 patients Individual risk assessment for AIS, prophylactic anticoagulation for 45 days if not contraindicated, regular physical activity, consumption of sufficient water/liquids, low-fat diet, low-salt diet DOACs, aspirin, clopidogrel

SARS-CoV-2, acute respiratory syndrome coronavirus 2; DOAC, direct oral anticoagulant; AIS, acute ischemic stroke; LMWH, low molecular weight heparin; Tpa, tissue plasminogen activator; ICU, intensive care unit; HrsACE2, human recombinant soluble angiotensin-converting enzyme 2.