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  1. G E Mead,
  2. A D Parry,
  3. P A O'Neill,
  4. C N Mccollum
  1. Stroke research fellow Vascular surgery research fellow Senior lecturer Professor of surgery Department of Surgery, University Hospital of South Manchester, Manchester M20 8LR

    EDITOR,—Roger N Baird and Mark Lambert are correct in stating that prevention of stroke is an important public health issue.1 There is now good evidence that treating hypertension in older patients, giving anticoagulants to patients with atrial fibrillation, and prescribing aspirin to patients with minor ischaemic stroke and transient ischaemic attacks reduces rates of stroke and costs. Lambert suggests, however, that only 154 strokes are preventable by carotid surgery among the 20500 patients presenting to their …

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