Stroke is one of the leading causes of mortality and long-term disability worldwide, posing a significant public health challenge. Effective prevention is critical to reduce its incidence and associated complications. This article aims to analyze and develop comprehensive preventive strategies for stroke, focusing on the identification and management of modifiable risk factors, including arterial hypertension, diabetes mellitus, dyslipidemia, obesity, smoking, and physical inactivity. The study emphasizes both primary prevention, targeting individuals at high risk before the first stroke, and secondary prevention, aimed at preventing recurrence in patients with prior cerebrovascular events. Preventive measures include lifestyle modification programs, pharmacological interventions, regular monitoring, and educational initiatives for the population and healthcare providers. The findings highlight that a structured, multifaceted approach to stroke prevention can significantly reduce risk, improve cardiovascular health, and enhance quality of life, demonstrating the importance of implementing preventive programs at the community and primary care levels.

stroke, prevention, preventive measures, risk factors, arterial hypertension, diabetes mellitus, dyslipidemia, obesity, smoking, physical inactivity, primary prevention, secondary prevention.

2024 Guideline for the Primary Prevention of Stroke: A guideline from the American Heart Association/American Stroke Association provides updated, evidencebased recommendations for reducing stroke risk through management of modifiable risk factors and lifestyle optimization.

Goldstein LB, Bushnell CD, Adams RJ, et al. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Neurology. Recommendations include risk factor control and evidencebased strategies to prevent a first stroke.

StatPearls. Stroke Prevention. This resource summarizes risk factor modification strategies, including blood pressure control, glycemic management, lipid lowering, and lifestyle changes such as diet and exercise for both primary and secondary stroke prevention.

Ostroumova OD. Prevention of stroke and dementia in highrisk patients. Consilium Medicum. Discusses the importance of riskfactorbased preventive therapy, particularly in patients with hypertension and other highrisk conditions.

A Scoping Review of NonPharmacological, NonSurgical Secondary Prevention Strategies: This review highlights lifestylefocused recommendations in national stroke guidelines, emphasizing physical activity, diet, smoking cessation, and behavior change counseling.