How is a silent stroke treated?

Audrey K. Chun, MD
Geriatric Medicine
Silent strokes can be treated as symptomatic strokes by addressing underlying risk factors to decrease the likelihood of recurrence. Most stroke patients are treated with an antiplatelet agent, such as aspirin or clopidogrel. Some are treated with an anticoagulant, such as warfarin (Coumadin) or dabigatran (Pradaxa) if they have atrial fibrillation, clots in the heart, certain clotting disorders or thick atherosclerotic plaque in the aorta.

Many stroke patients are also given drugs to lower cholesterol, as well as blood pressure-lowering medications. It also is important to make lifestyle modifications such as eliminating smoking, drinking alcohol in moderation only and exercising regularly.

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