Ann Intern Med. 2014 Jun 17;160(12):853-7. doi: 10.7326/M14-0762.
In February 2014, the American Heart Association/American Stroke Association released their first guideline focused on stroke prevention in women. This new guideline highlights unique risk factors for stroke in women, including oral contraception and hormone therapy, and pregnancy-associated disorders, such as preeclampsia, that may have long-lasting consequences on a woman's health. It also addresses hypertension; atrial fibrillation; migraine headache with aura; and the epidemiology of types of stroke, such as aneurysmal subarachnoid hemorrhage and cerebral vein thrombosis, that are predominant in women.
Members of a multidisciplinary expert panel searched, reviewed, and critiqued relevant English-language literature published between 1990 and May 2013. The panel devised evidence tables and developed recommendations using American Heart Association guideline procedures and levels of evidence.
This synopsis of the guideline summarizes the evidence about risk factors for stroke in women and suggests prevention strategies. It also describes the new recommendations relevant to identifying and treating hypertensive disorders in pregnancy that increase risk for stroke.
2014 年 2 月，美国心脏协会/美国中风协会发布了首份专注于女性中风预防的指南。该新指南强调了女性中风的独特风险因素，包括口服避孕药和激素疗法，以及与妊娠相关的疾病，如先兆子痫，这些疾病可能对女性的健康产生长期影响。它还涉及高血压、心房颤动、有先兆的偏头痛、以及动脉瘤性蛛网膜下腔出血和脑静脉血栓形成等女性中更为常见的中风类型的流行病学。
一个多学科专家小组搜索、审查和评价了 1990 年至 2013 年 5 月期间发表的相关英文文献。该小组使用美国心脏协会指南程序和证据级别设计了证据表并制定了建议。
该指南摘要总结了关于女性中风风险因素的证据，并提出了预防策略。它还描述了与识别和治疗增加中风风险的妊娠高血压疾病相关的新建议。
