Basing on the results of numerous investigations it is possible to sin
gle out 4 main directions in prevention of acute failure of cerebral c
irculation (AFCC) in cardiovascular diseases: stroke prevention in hyp
ertensive subjects, prevention of cardioembolic stroke in patients wit
h cardiac arrhythmia, prevention of recurrent AFCC episodes in patient
s with transitory ischemic attacks and minor stroke, prevention of the
stroke by inhibition of progression of carotid atherosclerosis. The b
est population effect in stroke prevention belongs to active detection
and adequate treatment of AH because AH is involved in development of
the majority of the mechanisms underlying both hemorrhagic and ischem
ic stroke.