12/19/2025
In our latest Q&A, Walter Kernan, MD, of Yale University School of Medicine, discussed the latest primary prevention guidelines and their focus on lifelong brain health and risk factor management. Kernan outlined some of the most notable takeaways, including using the American Heart Association's “Life’s Essential 8” as a foundation for reducing stroke risk, while stressing the importance of regular access to primary care.
In addition, Kernan underscored a lifespan approach to brain health, with early and repeated risk factor assessment, and detailed specific clinical considerations. He also identified major evidence gaps that warrant further research, including maternal stroke, sleep health, obesity, and health system–level primary care delivery.
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