Stroke and Vascular Neurology (Sep 2020)
Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of the management of high-risk population
- Liping Liu,
- Kangning Chen,
- Yilong Wang,
- Zhongrong Miao,
- Yuan Gao,
- Yuming Xu,
- Wei Liu,
- Benyan Luo,
- Bin Peng,
- Yong Huo,
- Qiang Dong,
- Zixiao Li,
- Xingquan Zhao,
- Jizong Zhao,
- Wei Wang,
- Bin Jiang,
- Shuo Wang,
- Chen Wang,
- Linong Ji,
- Shizheng Wu,
- Yong Jiang,
- Wenzhi Wang,
- Yapeng Li,
- Xiaomeng Yang,
- Junbo Ge,
- Xunming Ji,
- Tong Zhang,
- Li He Li Guo,
- Tielin Li,
- Ning Wang,
- Peng Xie,
- Yun Xu,
- Jinsheng Zeng,
- Chaodong Zhang,
- Zhuo Zhang,
- Gang Zhao,
- Dongling Sun,
- Haixin Sun,
- Xiaojuan Ru,
- Penglian Wang,
- Lixia Zong,
- Yuyuan Xu,
- Xiaoyuan Niu,
- Dingfeng Su,
- Beisha Tang,
- Haiqiang Qin,
- Lei Guo,
- Shangrong Han,
- Yong Cao,
- Ling Guan,
- Qian Jia,
- Yuming Jiao,
- Shuya Li,
- Xuewei Xie,
- Yingying Yang,
- Mengyuan Zhou
Affiliations
- Liping Liu
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Kangning Chen
- 6 Department of Neurology, Xi Nan Hospital, Third Military Medical University, Chongqing, China
- Yilong Wang
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Zhongrong Miao
- Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Yuan Gao
- Department of Neurology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
- Yuming Xu
- Department of Neurology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
- Wei Liu
- 1 Department of Cardiology, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China
- Benyan Luo
- 2 Department of Neurology and Brain Medical Centre, The First Affiliated Hospital, Zhejiang University, Hangzhou, China
- Bin Peng
- Department of Health Statistics, Chongqing Medical University, Chongqing, China
- Yong Huo
- Department of Cardiology, Peking University First Hospital, Beijing, China
- Qiang Dong
- Department of Neurology, Huashan Hospital Fudan University, Shanghai, Shanghai, China
- Zixiao Li
- Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Xingquan Zhao
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Jizong Zhao
- 1 China National Clinical Research Center for Neurological Diseases, Beijing, China
- Wei Wang
- Department of Ophthalmology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
- Bin Jiang
- 3 Department of Neuroepidemiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
- Shuo Wang
- Chen Wang
- Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Capital Medical University, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, Institute of Respiratory Medicine, Chinese Academy of Medical Science, Beijing, China
- Linong Ji
- Department of Endocrinology and Metabolism, Peking University People’s Hospital, Beijing, China
- Shizheng Wu
- Yong Jiang
- China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Wenzhi Wang
- 3 Department of Neuroepidemiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
- Yapeng Li
- 6 Neurology, Zhengzhou University First Affiliated Hospital, Zhengzhou, Henan, China
- Xiaomeng Yang
- China National Clinical Research Center for Neurological Diseases, Beijing, China
- Junbo Ge
- Xunming Ji
- 1 Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
- Tong Zhang
- Aff1 0000 0004 1762 1794grid.412558.fDepartment of Hepatic Surgery and Liver Transplantation CenterThe Third Affiliated Hospital of Sun Yat-sen University Guangzhou China
- Li He Li Guo
- Tielin Li
- Ning Wang
- Department of Pediatric Surgery, the First Affiliated Hospital, Dali University, Dali, China
- Peng Xie
- Yun Xu
- Jinsheng Zeng
- 1 Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University; Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Guangzhou, China
- Chaodong Zhang
- Zhuo Zhang
- Gang Zhao
- Dongling Sun
- Department of Neuroepidemiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Haixin Sun
- Department of Neuroepidemiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Xiaojuan Ru
- Department of Neuroepidemiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Penglian Wang
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Lixia Zong
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Yuyuan Xu
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Xiaoyuan Niu
- Dingfeng Su
- Beisha Tang
- Haiqiang Qin
- Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Lei Guo
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
- Shangrong Han
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Yong Cao
- 2 China National Clinical Research Center for Neurological Diseases, Beijing, China
- Ling Guan
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Qian Jia
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Yuming Jiao
- 2 China National Clinical Research Center for Neurological Diseases, Beijing, China
- Shuya Li
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Xuewei Xie
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Yingying Yang
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- Mengyuan Zhou
- 1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- DOI
- https://doi.org/10.1136/svn-2020-000385
- Journal volume & issue
-
Vol. 5,
no. 3
Abstract
Aim Cerebrovascular disease is the leading cause of death and disability in China, causing a huge burden among patients and their families. Hence, stroke prevention is critical, especially in the high-risk population. Here, we present the evidence-based guideline suitable for the Chinese population.Methods Literature search of PubMed and Cochrane library (from January 1964 to June 2019) was done. After thorough discussion among the writing group members, recommendations were listed and summarised. This guideline was reviewed and discussed by the fellow writing committees of the Chinese Stroke Association’s Stroke.Results This evidence-based guideline was written in three parts: controlling the risk factors of stroke, utilisation of antiplatelet agents and assessing the risks of first-ever stroke. All recommendations were listed along with the recommending classes and levels of evidence.Conclusions This guideline provides recommendations for primary prevention of cerebrovascular disease among high-risk population in China. Controlling related risk factors, appropriately using antiplatelet agents, assessing the risk of developing first-ever stroke should help reduce the rate of cerebrovascular disease in China.
