Stroke is a major disease in women, having a huge impact on morbidity, mortality and health-care expenditure. Undoubtedly, it is related to aging and occurs mainly in old people, but does it have any gender-specific characteristics? A new guideline from the American Heart Association/American Stroke Association focuses on the risk factors unique to women, such as reproductive factors, and those that are more common in women, including migraine with aura, obesity, metabolic syndrome, and atrial fibrillation . The document provides current evidence, research gaps, and recommendations on risk of stroke related to pre-eclampsia, oral contraceptives, menopause, and hormone replacement, as well as those risk factors more common in women. The conclusion of the guideline points at the need to more accurately reflect the risk of stroke in women across the lifespan, and perhaps even create a female-specific stroke risk score.
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
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