June 20, 2019/Heart Health

Am I at a Greater Risk for a Stroke After a Heart Attack?

The short answer from a vascular neurologist

Older man deep in thought on porch at early evening

Q: Am I at a greater risk for a stroke after a heart attack?

A: The short answer is yes. Risk for ischemic stroke caused by a blood clot is elevated for the first three months following a heart attack. However, through a close evaluation following heart attack or stroke can help address risk factors faster, and therefore help with prevention.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

In terms of treatment, it is likely that a light blood thinner (such as aspirin or another antiplatelet medication) will be prescribed. If atrial fibrillation is detected, stronger blood thinners will be necessary to help prevent stroke. Diabetes and blood pressure will continue to be regulated — possibly, with medication — in addition to following a consistent diet and exercise plan.

However, prevention is always the best medicine

Don’t wait to have a heart attack before taking preventative measures. A yearly physical exam with blood tests and blood sugar, blood pressure and cholesterol screenings will help your physician to determine your stroke risk. If you are at a higher risk for stroke due to:

An ultrasound of your arteries may be done to look for cholesterol buildup, and a more intensive prevention plan may be devised.

Advertisement

M. Shazam Hussain, MD
Director, Cleveland Clinic Cerebrovascular Center

Learn more about our editorial process.

Related Articles

Older couple talk while leisurely walk across a bridge
February 29, 2024/Heart Health
Can You Exercise After a Heart Attack?

Absolutely! In fact, in many ways, exercise is key to recovery

Person having a heart attack in background, close up of hand calling 911 on cell phone in foreground
February 28, 2024/Heart Health
Can You Stop a Heart Attack Once It Starts?

There’s no way to stop it once a heart attack is happening, but the most important thing you can do is to call for help

Person enjoying container of assorted fruit
February 28, 2024/Heart Health
How To Protect Your Heart When You Have Prediabetes

You can counter the risk of prediabetes-related heart attack or stroke by eating more fruits, vegetables and whole grains, as well as exercising regularly

Blood pressure cuff on arm and blood pressure-reading device
February 27, 2024/Heart Health
Here’s What Your Blood Pressure Numbers Mean

An ideal blood pressure is less than 120 mm Hg systolic and less than 80 mm Hg diastolic

Caregiver and elderly male with head bent down
February 2, 2024/Brain & Nervous System
After Your Stroke: How To Handle 14 Common Complications

Your age, the type of stroke you had, the cause and the location can all impact your recovery

person holding hands to upper chest
January 26, 2024/Heart Health
How To Tell the Difference Between a Heart Attack and a Panic Attack

To help determine what you’re experiencing, focus on how the pain feels, the location of the pain, when it started and how long it lasts

close up of bottle of pills spilling onto table
January 24, 2024/Heart Health
Take Your Cholesterol Meds: Stopping Statins Can Cause Dangerous Side Effects

Stopping this critical medication on your own increases the risk of heart attack, stroke and more

A sad couple standing on each side of a large broken heart
December 3, 2023/Heart Health
Yes, You Can Die From a Broken Heart — But No, It’s Not Likely at All

The emotional toll of loss and other strong emotions can have life-threatening physical effects

Trending Topics

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

woman snacking on raisins and nuts
52 Foods High In Iron

Pump up your iron intake with foods like tuna, tofu and turkey

Ad