Primordial – address social determinants of health

• Increasing access to fresh fruit and vegetables
• Increasing health literacy
• Access to healthcare

Primary – lifestyle modifications

• Stop smoking
• Improve diet to low in fat (especially saturated fats)
• Regular exercise
• Avoid excess alcohol

Secondary

• Adherence to pharmacotherapy (reminders, self-monitoring, reinforcement, counselling, administration aids)
• Blood pressure lowering (therapy should commence before discharge unless already on medication)
• Antiplatelet therapy (low-dose aspirin 100mg or clopidogrel 75mg or dipyridamole modified release + aspirin 200+25mg)
• Anticoagulation therapy (only in patients who have AF or cardioembolic stroke)
• Cholesterol lowering therapy with statin
• Discussion around stopping HRT and oral contraception
• Diabetes management