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    Women of all ages should pay more attention to the risk of stroke than the average man, watching theirblood pressure carefully even before they think about taking birth control pills or getting pregnant,according to a new set of guidelines released Thursday.

    Women are also more likely to have risk factors associated with stroke, such as migraines, depression,diabetes and abnormal heart rhythm known as atrial fibrillation.

    Stroke Guidelines for Women

    More stories on stroke

    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'(

    ) daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor of

    http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/
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    neurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4

    ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    of the estimated $&&,&&& people who have a stroke each year are women.

    )s women increasingly outlive men, their lifetime risk of stroke becomes higher. Women are also morelikely to be living alone and widowed after suffering a stroke, and are more likely to beinstitutionali1ed, research shows.

    9)s the baby boomer generation ages, more people are at risk for stroke, and women in particular asthey enter their /&s, 4&s and >&s,: said )le- 0romerick, a neurology professor at Georgetown"niversity.

    9Women are more adversely affected by stroke than men,: according to the guidelines. 93ow morethan ever, it is critical to identify women at higher risk for stroke and initiate the appropriate preventionstrategies.:

    ?n some instances, the recommendations call for common2sense precautions that doctors andconsumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'() daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information about

    stroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    ) stroke occurs when the blood supply to the brain is blocked or when a blood vessel in the brainruptures, causing brain tissue to die.

    The signs of stroke in women are similar to those in men, including face drooping, sudden numbness orweakness of the arm, and difficulty with speech or trouble understanding. *ut symptoms in womenmay be more vague or subtle, *ushnell said. Women are more likely to have a change in theirconsciousness or their ability to communicate with people, she said.

    )n estimated 4.$ million people in the "nited States are living after having had a stroke, including (.$million women, according to statistics from the )merican 6eart )ssociation. =ach year, more than halfof the estimated $&&,&&& people who have a stroke each year are women.

    )s women increasingly outlive men, their lifetime risk of stroke becomes higher. Women are also morelikely to be living alone and widowed after suffering a stroke, and are more likely to beinstitutionali1ed, research shows.

    9)s the baby boomer generation ages, more people are at risk for stroke, and women in particular asthey enter their /&s, 4&s and >&s,: said )le- 0romerick, a neurology professor at Georgetown"niversity.

    9Women are more adversely affected by stroke than men,: according to the guidelines. 93ow morethan ever, it is critical to identify women at higher risk for stroke and initiate the appropriate preventionstrategies.:

    ?n some instances, the recommendations call for common2sense precautions that doctors andconsumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ should

    also be screened for atrial fibrillation.*ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    neurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information about

    stroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

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    consumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2dose

    aspirin andBor calcium supplement therapy to lower preeclampsia risk.AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ should

    also be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

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    of the estimated $&&,&&& people who have a stroke each year are women.

    )s women increasingly outlive men, their lifetime risk of stroke becomes higher. Women are also morelikely to be living alone and widowed after suffering a stroke, and are more likely to beinstitutionali1ed, research shows.

    9)s the baby boomer generation ages, more people are at risk for stroke, and women in particular asthey enter their /&s, 4&s and >&s,: said )le- 0romerick, a neurology professor at Georgetown"niversity.

    9Women are more adversely affected by stroke than men,: according to the guidelines. 93ow morethan ever, it is critical to identify women at higher risk for stroke and initiate the appropriate preventionstrategies.:

    ?n some instances, the recommendations call for common2sense precautions that doctors andconsumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    More stories on stroke

    Aspirin can deter stroke and heart attack, but it also has

    downsides

    Consumer eports !"# $, %&'(

    ) daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.html
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    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes against

    http://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.htmlhttp://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.htmlhttp://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.htmlhttp://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.html
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    recommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor of

    neurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,

    and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks that

    come with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    Consumer eports !"# $, %&'(

    ) daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than most

    recommendations.9We

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    consciousness or their ability to communicate with people, she said.

    )n estimated 4.$ million people in the "nited States are living after having had a stroke, including (.$million women, according to statistics from the )merican 6eart )ssociation. =ach year, more than halfof the estimated $&&,&&& people who have a stroke each year are women.

    )s women increasingly outlive men, their lifetime risk of stroke becomes higher. Women are also morelikely to be living alone and widowed after suffering a stroke, and are more likely to beinstitutionali1ed, research shows.

    9)s the baby boomer generation ages, more people are at risk for stroke, and women in particular asthey enter their /&s, 4&s and >&s,: said )le- 0romerick, a neurology professor at Georgetown"niversity.

    9Women are more adversely affected by stroke than men,: according to the guidelines. 93ow morethan ever, it is critical to identify women at higher risk for stroke and initiate the appropriate preventionstrategies.:

    ?n some instances, the recommendations call for common2sense precautions that doctors andconsumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;or

    complications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    diabetes and abnormal heart rhythm known as atrial fibrillation.

    Stroke Guidelines for Women

    More stories on stroke

    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'(

    ) daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations to

    prevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than a

    http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.html
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    decade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We/ shouldalso be screened for atrial fibrillation.

    http://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.htmlhttp://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.htmlhttp://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.htmlhttp://www.washingtonpost.com/national/health-science/lady-sybils-shocking-death/2013/01/28/c0f41e14-697a-11e2-ada3-d86a4806d5ee_story.html
  • 8/13/2019 W Health Articals - from washington post

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    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-perts

    that developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

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    pressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

    31/62

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks that

    come with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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  • 8/13/2019 W Health Articals - from washington post

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    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'() daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information about

    stroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

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    ) stroke occurs when the blood supply to the brain is blocked or when a blood vessel in the brainruptures, causing brain tissue to die.

    The signs of stroke in women are similar to those in men, including face drooping, sudden numbness orweakness of the arm, and difficulty with speech or trouble understanding. *ut symptoms in womenmay be more vague or subtle, *ushnell said. Women are more likely to have a change in theirconsciousness or their ability to communicate with people, she said.

    )n estimated 4.$ million people in the "nited States are living after having had a stroke, including (.$million women, according to statistics from the )merican 6eart )ssociation. =ach year, more than halfof the estimated $&&,&&& people who have a stroke each year are women.

    )s women increasingly outlive men, their lifetime risk of stroke becomes higher. Women are also morelikely to be living alone and widowed after suffering a stroke, and are more likely to beinstitutionali1ed, research shows.

    9)s the baby boomer generation ages, more people are at risk for stroke, and women in particular asthey enter their /&s, 4&s and >&s,: said )le- 0romerick, a neurology professor at Georgetown"niversity.

    9Women are more adversely affected by stroke than men,: according to the guidelines. 93ow morethan ever, it is critical to identify women at higher risk for stroke and initiate the appropriate preventionstrategies.:

    ?n some instances, the recommendations call for common2sense precautions that doctors andconsumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ should

    also be screened for atrial fibrillation.*ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    according to a new set of guidelines released Thursday.

    Women are also more likely to have risk factors associated with stroke, such as migraines, depression,diabetes and abnormal heart rhythm known as atrial fibrillation.

    Stroke Guidelines for Women

    More stories on stroke

    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'(

    ) daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://apps.washingtonpost.com/g/page/national/guidelines-for-the-prevention-of-stroke-in-women/796/http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.html
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    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than most

    recommendations.

    9We

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    blinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations to

    prevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

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    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high blood

    pressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'() daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information about

    stroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    neurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    consumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2dose

    aspirin andBor calcium supplement therapy to lower preeclampsia risk.AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ should

    also be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

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    of the estimated $&&,&&& people who have a stroke each year are women.

    )s women increasingly outlive men, their lifetime risk of stroke becomes higher. Women are also morelikely to be living alone and widowed after suffering a stroke, and are more likely to beinstitutionali1ed, research shows.

    9)s the baby boomer generation ages, more people are at risk for stroke, and women in particular asthey enter their /&s, 4&s and >&s,: said )le- 0romerick, a neurology professor at Georgetown"niversity.

    9Women are more adversely affected by stroke than men,: according to the guidelines. 93ow morethan ever, it is critical to identify women at higher risk for stroke and initiate the appropriate preventionstrategies.:

    ?n some instances, the recommendations call for common2sense precautions that doctors andconsumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2doseaspirin andBor calcium supplement therapy to lower preeclampsia risk.

    AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

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    More stories on stroke

    Aspirin can deter stroke and heart attack, but it also hasdownsides

    Consumer eports !"# $, %&'(

    ) daily dose is often recommended for people with heart disease, especially for those at highest risk.

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-perts

    that developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    http://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/aspirin-can-guard-against-stroke-and-heart-attack-but-it-also-has-downsides/2013/07/08/c358bfea-b685-11e2-92f3-f291801936b8_story.htmlhttp://www.washingtonpost.com/national/health-science/after-a-stroke-the-expanding-role-of-exercise-in-promoting-recovery/2012/02/13/gIQADGapNS_story.htmlhttp://www.washingtonpost.com/national/health-science/stroke-or-ear-infection-new-goggles-help-doctors-distinguish/2013/08/05/2e3e7122-f305-11e2-bdae-0d1f78989e8a_story.htmlhttp://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.html
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    9We/ shouldalso be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

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    leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

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    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ should

    also be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

    56/62

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information about

    stroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W Health Articals - from washington post

    57/62

    consumers should already be doing. ?n others, the recommendations are more specific.

    )mong the guidelines@

    AWomen should be screened for high blood pressure before taking birth control pills because thecombination raises stroke risks.

    AWomen with a history of high blood pressure before pregnancy should be considered for low2dose

    aspirin andBor calcium supplement therapy to lower preeclampsia risk.AWomen who have preeclampsia have twice the risk of stroke and a four2fold risk of high bloodpressure later in life. Therefore, preeclampsia should be recogni1ed as a risk factor well afterpregnancy.

    reeclampsia and eclampsia are blood pressure disorders during pregnancy that cause ma;orcomplications, including stroke during or after delivery, premature birth, and risk for stroke well afterchild2bearing. reeclampsia is characteri1ed by high blood pressure and high protein levels in the urine,and when sei1ure also occurs, is called eclampsia, according to the )merican 6eart )ssociation.

    The guidelines also recommend that women who have migraine headaches with aura such asblinking lights or moving dots stop smoking to avoid higher stroke risks. Women over age >/ should

    also be screened for atrial fibrillation.

    *ut one that could be controversial recommends treating pregnant women with moderately high bloodpressure D'/& to '/+ mm6gB'&& to '&+ mm6gE with blood pressure medication. That goes againstrecommendations by the )merican College of Fbstetricians and Gynecologists, *ushnell said.

    9We are going out on a limb,: she said.:We don

  • 8/13/2019 W Health Articals - from washington post

    58/62

    Exercise can assist in stroke rehab

    #enny *ernstein M) '+, %&'%

    ) woman and a ilates instructor create the kind of e-ercise program that may help stroke survivors.

    Stroke or ear infection? New goggles help doctors distinguish.

    Meeri im )"G /, %&'(

    0i11iness marks both ailments, but doctors can tell them apart with eye2tracking.

    Chiropractic neck manipulation: Can it cause strokes?

    Susan *erger !)3 4ractitioners say the link is unproven and the cases are e-tremely rare5 others e-press concern.The new guidelines from the )merican 6eart )ssociation were the first such recommendations toprevent strokes in women. Stroke is the fourth2leading cause of death for all )mericans but the third2leading cause of death for women, after heart disease and cancer.

    Women share many of the same risk factors as men for stroke, but they also have uni7ue risks thatcome with pregnancy complications and hormone use, said Cheryl *ushnell, associate professor ofneurology at Wake 8orest *aptist Medical Center in Winston2Salem, 3.C., who led a group of e-pertsthat developed the guidelines.

    revious guidelines about cardiovascular prevention in women have included some information aboutstroke. 9*ut it was buried in there,: said *ushnell, who has been studying the topic for more than adecade. 9We wanted to take topics that are really women2specific and emphasi1e stroke and put it all inone guideline.:

    The recommendations, published in the ;ournal Stroke, emphasi1e the importance of controlling bloodpressure, especially in young women. They are aimed at a broader age range than mostrecommendations.

    9We

  • 8/13/2019 W