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This refers to a standardized medical management (SMM) protocol evaluated in the SMART (Standard Medical Management in Secondary Stroke Prevention) clinical trial led by Peking Union Medical College Hospital. The regimen is designed for the secondary prevention of ischemic stroke in the Chinese population and consists of antiplatelet therapy (either aspirin at 75-150mg/day or clopidogrel at 75mg/day) combined with lipid-lowering therapy (either atorvastatin at 20mg/day or simvastatin at 20mg/day). In addition to these pharmacological interventions, the protocol includes the management of other risk factors such as hypertension and diabetes using agents like amlodipine, benazepril, or metformin, and incorporates an interactive education program (online medical education and health behavior guides) to improve patient outcomes and adherence.
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