Michigan Medical Report
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MICHIGAN NEUROSCIENCE
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OF THE MEDICAL REPORT
Lionel Glass, MD
St. Joseph Mercy Oakland
Neurologist

THE FACTS ABOUT WOMEN AND STROKES

Background

The majority of American women mistakenly believe that they have a higher risk for cancer than stroke and heart disease.However, stroke and heart disease will kill twice as many women as cancer.

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An estimated 750,000 strokes occur in the United States each year, yet one in four Americans cannot name a single risk factor. Strokes can happen to anyone at any age, not just the elderly –more than 30 percent of strokes occur in women before the age of 65. Up to 80% of strokes are preventable.

The National Stroke Association (NSA) is committed to changing how women view stroke. With its “Women in Your Life” campaign, NSA aims to teach women to recognize stroke symptoms and realize that stroke is an emergency – beginning with the first three hours after signs appear. After three hours, doctors are limited in how or if they can treat a stroke.



RISK FACTORS
“There are elements that increase an individual’s, especially a woman’s, chance of incurring a stroke,” says Lionel Glass, MD and SJMO neurologist. “These include high blood pressure, diabetes,migraine headaches, pregnancy, menopause, and hormonal therapy.”

Women with one or more of the following risk factors should discuss prevention strategies with their health care provider:

High Blood Pressure (Hypertension):
Nearly 29 million American women have high blood pressure, the most common cause of stroke in women. Hypertension puts stress on blood vessel walls and can lead to stroke from blood clots or hemorrhages. Older women are at higher risk; more than half of all women over the age of 55 have high blood pressure. Additionally, African American women are more likely to have high blood pressure.

Diabetes:
Diabetes affects a person’s ability to move sugar out of the blood stream into cells. It is often called a “woman’s disease,” because after age 45, about twice as many women than men develop diabetes. Individuals with diabetes have a higher risk of stroke.

Migraine Headaches:
The majority of Americans who suffer migraines are women. These headaches can increase a woman’s stroke risk three to six times.

Pregnancy:
Researchers believe that a pregnancy, especially the few months after delivery, can increase a woman’s stroke risk due to the natural changes in the body, including: higher blood pressure,increased production of blood-clotting factors, significant blood loss during delivery, increased stress on the heart, and additional blood volume in the second and third trimesters.

Menopause and Hormone Therapy:
Combined hormone therapy of progestin and estrogen for postmenopausal women increases the risk of stroke and heart attack.

REFERRAL
Please call the SJMO physician referral line at 800.372.6094 to find an SJMO neurologist near you.

 

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