What are the AHA/ASA recommendations for reduction of stroke risk in women?

Updated: May 27, 2020
  • Author: Edward C Jauch, MD, MS, FAHA, FACEP; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

In 2014, the American Heart Association and the American Stroke Association issued guidelines for the reduction of stroke risk specifically in women. These gender-specific recommendations include the following [24, 25] :

  • A stroke risk score should be developed specifically for women

  • Women with a history of high blood pressure before pregnancy should be considered for low-dose aspirin and/or calcium supplement treatment to reduce the risk of preeclampsia

  • Blood pressure medication may be considered for pregnant women with moderately high blood pressure (150-159 mmHg/100-109 mmHg), and pregnant women with severe high blood pressure (160/110 mmHg or above) should be treated

  • Women should be screened for high blood pressure before they start using birth control pills because of an increased risk of stroke

  • Women with migraine headaches with aura should be encouraged to quit smoking to reduce the risk of stroke

  • Women over age 75 should be screened for atrial fibrillation


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