Affiliation:
1. Department of Neurology, University of Texas Health Science Center at Houston (B.M., C.F.).
2. Department of Epidemiology, University of Michigan, Ann Arbor (L.L.).
Abstract
Stroke risk and prevalence increase with advanced age and women tend to be older than men at the time of their first stroke. Advanced age in women confers unique stroke risks that are beyond reproductive factors. Previous reviews and guidelines have largely focused on risk factors specific to women, with a predominant focus on reproductive factors and, therefore, younger to middle-aged women. This review aims to specifically describe stroke risk factors in elderly women, the population of women where the majority of strokes occur, with a focus on atrial fibrillation, hormone therapy, psychosocial risk factors, and cognitive impairment. Our review suggests that prevention and management of stroke risks that are unique or more prevalent in elderly women needs a coordinated system of care from general physicians, general neurologists, vascular and cognitive neurologists, psychologists, cardiologists, patients, and their caretakers. Early identification and management of the elderly woman–specific and traditional stroke risk factors is key for decreasing stroke burden in elderly women. Increased education among elderly women regarding stroke risk factors and their identification should be considered, and an update to the guidelines for prevention of stroke in women is strongly encouraged.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)
Reference115 articles.
1. Institute of Medicine Committee on Women's Health R. Women’s Health Research: Progress, Pitfalls, and Promise. In: Washington (DC): National Academies Press (US); 2010.
2. Sex Differences in Stroke
3. The Lifetime Risk of Stroke
4. Guidelines for the Prevention of Stroke in Women
5. Prehypertension and Cardiovascular Disease Risk in the Women’s Health Initiative