Secondary Stroke Prevention

In this course, Dr. Sara K. Rostanski reviews cases regarding treatment for secondary stroke prevention after ischemic stroke.

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Baptist Health gratefully acknowledges the educational grant provided by Stryker.

Target Audience

Internal Medicine Physicians, Family Medicine Physicians, Obstetricians, Hospitalists, Fellows, Physician Assistants/Physician Associates, Residents, Advanced Practice Registered Nurses, Nurses, Clinical Laboratory Personnel, Pharmacists, Pharmacy Technicians and all other interested healthcare providers.

Learning Objectives

  • Discuss the appropriate treatment regimen for secondary stroke prevention after ischemic stroke.
  • Explain the appropriate work-up after ischemic stroke to determine the cause.
  • Discuss the duration of dual antiplatelet therapy after ischemic stroke.
Additional information
Bibliography: 
  • Kleindorfer, D. O., Towfighi, A., Chaturvedi, S., Cockroft, K. M., Gutierrez, J., Lombardi-Hill, D., Kamel, H., Kernan, W. N., Kittner, S. J., Leira, E. C., Lennon, O., Meschia, J. F., Nguyen, T. N., Pollak, P. M., Santangeli, P., Sharrief, A. Z., Smith, S. C., Jr, Turan, T. N., & Williams, L. S. (2021). 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke52(7), e364–e467. 
  • Chimowitz, M. I., Lynn, M. J., Derdeyn, C. P., Turan, T. N., Fiorella, D., Lane, B. F., Janis, L. S., Lutsep, H. L., Barnwell, S. L., Waters, M. F., Hoh, B. L., Hourihane, J. M., Levy, E. I., Alexandrov, A. V., Harrigan, M. R., Chiu, D., Klucznik, R. P., Clark, J. M., McDougall, C. G., Johnson, M. D., … SAMMPRIS Trial Investigators (2011). Stenting versus aggressive medical therapy for intracranial arterial stenosis. The New England journal of medicine365(11), 993–1003. 
  • Sanna, T., Diener, H., Passman, R. S., Di Lazzaro, V., Bernstein, R. A., Morillo, C. A., Rymer, M. M., Thijs, V., Rogers, T., Beckers, F., Lindborg, K., & Brachmann, J. (2014). Cryptogenic stroke and underlying atrial fibrillation. New England Journal of Medicine370(26), 2478–2486.
Course Summary
Available credit: 
  • 1.00 ABIM Medical Knowledge
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
08/31/2025
Course expires: 
08/30/2028

Faculty

Sara K. Rostanski, M.D.
Stroke Director and Associate Chief of Neurology
Assistant Professor of Neurology 
NYU Grossman School of Medicine

Sara K. Rostanski, M.D., faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Non-faculty contributors, Boca Raton Regional Hospital internal medicine CME planning committee members, and others involved in the planning, development, and editing/review of the content have no relevant financial relationships with ineligible companies* to disclose.

Relevant Financial Relationships

The following individuals involved in the planning, development, review, presentation, authoring and/or editing of the symposium content have disclosed relevant financial relationships with ineligible companies*, and the CME Department has mitigated these potential conflicts of interest. **Indicates that this individual’s presentation(s) will include discussion of off-label or unapproved product usage.

G. Peter Gliebus, M.D., faculty for this educational activity, is on the speaker’s bureau for Eisai. 
Donald Heiman, M.D., faculty for this educational activity, is a shareholder for Abbvie, Bristol Myers Squibb, Johnson & Johnson, and Oramed. 
Marc S. Richards, M.D., faculty for this educational activity, is on the speaker’s bureau for Amgen, Calliditas Therapeutics AB, and Travere Therapeutics, Inc. 

All relevant financial relationships have been mitigated.

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 1.00 ABIM Medical Knowledge
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Please login or register for a Baptist Health CME account to take this course.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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