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New Guidelines Aim to Lower Stroke Risk in Women

Pregnancy, childbirth, female hormones can all influence lifelong risk, experts say


Some recommendations in the new guidelines include:

  • Women with a history of high blood pressure before pregnancy should be considered for low-dose aspirin therapy or calcium supplementation while pregnant.
  • Pregnant women with elevated blood pressure (150-159 mm Hg/100-109 mm Hg) should talk with their doctor about possible blood pressure medication.
  • Pregnant women with severe high blood pressure (160/110 mm Hg or above) should take medication.
  • Women should be screened for high blood pressure before taking birth control pills.
  • Women who suffer from migraines with aura should quit smoking.
  • Women over 75 should be screened for atrial fibrillation risks.

"There isn't a specific prevention strategy for women because we haven't studied it enough to find one," Bushnell said. "But all of the healthy lifestyle recommendations apply equally to men and women."

Dr. Suzanne Steinbaum, director of Women's Heart Health at the Heart and Vascular Institute at Lenox Hill Hospital in New York City, said she hopes the new guidelines will help women be more aware of stroke risk and cardiovascular health.

"Whenever I give a talk, I ask what people think is the greatest risk to women's health and they say breast cancer," Steinbaum said. "I don't think stroke is on the same level of consciousness. Awareness is the first step," she noted.

"The first step is, if you have any risks for cardiovascular disease, heart disease or stroke, it's important to visit your doctor," Steinbaum said. "Then, know your numbers: your blood pressure, your cholesterol, your blood sugar, your BMI [which is a score based on height and weight]. Knowing your family history is also very important. To prevent stroke it comes down to the basics, lifestyle changes. These are critical issues to address in order to reduce cardiovascular disease and prevent stroke."


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