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.