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- Perspective and Pathogenesis
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1. Expanding frontiers of cerebrovascular disease
- Prof. Vladimir Hachinski
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2. Basic anatomy, physiology and pathophysiology of the cerebral circulation for the physician
- Prof. Jean-Claude Baron
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3. Pathophysiology of cerebral ischemia
- Prof. Wolf-Dieter Heiss
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4. Intracerebral hemorrhages: causes and clinical findings
- Prof. Louis Caplan
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5. Subarachnoid hemorrhage (SAH)
- Prof. R. Loch Macdonald
- Diagnosis
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6. Clinical diagnosis of stroke and subtypes
- Prof. Louis Caplan
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7. The investigation of stroke
- Dr. Bart Demaerschalk
- Treatment
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8. Acute therapy of stroke and reperfusion treatments
- Prof. Brian Silver
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9. Subarachnoid hemorrhage diagnosis and management
- Prof. Gary K. Steinberg
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10. Stroke-induced heart injury
- Dr. Luciano A. Sposato
- Rehabilitation
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11. Stroke rehabilitation: principles of stroke
- Prof. Robert Teasell
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12. Stroke rehabilitation: therapies and treatments
- Prof. Robert Teasell
- Prevention
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13. Lifestyle and nutrition in stroke prevention
- Prof. J. David Spence
- Special Topics
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15. Pediatric stroke: cerebrovascular injury in the developing brain
- Prof. Adam Kirton
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16. Stroke in women: epidemiology, risk and prevention
- Prof. Cheryl Bushnell
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17. Transient ischemic attack and cognition
- Dr. Jennifer Mandzia
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18. Vascular cognitive impairment
- Prof. Eric E. Smith
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19. Atrial fibrillation, anticoagulation and vitamins for homocysteine
- Prof. J. David Spence
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20. Stroke in the young adult
- Prof. Jeffrey Saver
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21. Stroke in the young
- Dr. Gyan Kumar
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22. Convergence and joint prevention of stroke and dementia
- Prof. Vladimir Hachinski
- Archived Lectures *These may not cover the latest advances in the field
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23. Vascular cognitive impairment
- Dr. John Bowler
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24. Pediatric stroke
- Dr. Gabrielle deVeber
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25. The deteriorating stroke
- Prof. Werner Hacke
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26. General management
- Prof. Bo Norrving
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27. The treatment of stroke: specific management - thrombolysis plus
- Prof. Nils Wahlgren
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28. Rehabilitation: the chronic phase
- Prof. Lalit Kalra
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29. Prevention: management of risk and protective factors
- Prof. Graeme Hankey
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30. Medical therapy for secondary prevention of ischemic stroke
- Prof. Larry Goldstein
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31. Subarachnoid haemorrhage
- Prof. Jan van Gijn
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32. Controversies in stroke
- Prof. Stephen Davies
- Prof. Geoffrey Donnan
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33. Medical and surgical stroke
- Prof. Carlos Kase
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34. The urgency of stroke prevention after TIA
- Prof. S. Claiborne Johnston
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35. Carotid endarterectomy, angioplasty and stenting
- Prof. Martin Brown
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36. The clinical diagnosis of stroke and stroke subtypes
- Prof. Louis Caplan
Printable Handouts
Navigable Slide Index
- Introduction
- Overview
- Epidemiology of sex differences in stroke
- Epidemiology: sex difference trends
- Stroke symptoms differ in women
- More stroke sex differences
- Stroke mimics
- Stroke prevention in women guideline
- Why a guideline just for women?
- Other guideline topics
- Stroke in pregnancy and pregnancy complications
- Pregnancy increases risk of stroke
- Preeclampsia/eclampsia
- Definition of severe preeclampsia
- Neurologic symptoms of preeclampsia
- Vasculopathies in preeclampsia/eclampsia (1)
- Vasculopathies in preeclampsia/eclampsia (2)
- Case #1
- Case #1 – imaging
- Risk factors for a woman with history of eclampsia
- Eclampsia/preeclampsia and stroke
- Preeclampsia and risk of future stroke
- Pregnancy is a cardiovascular stress test
- What can we do now to prevent stroke?
- Treatment of HTN in pregnancy and postpartum
- Hormonal contraception
- Oral contraceptive use: the landscape
- Oral contraceptives and ischemic stroke risk
- Risk of stroke with selected OCs
- Relationship between OC use and risk factors
- Class III/IIb recommendations: oral contraceptives
- Menopause and hormone therapy
- Early menopause: a risk factor for stroke
- Menopausal transition and cardiovascular risk
- The timing hypothesis
- Estrogen and atherosclerosis
- Kronos estrogen early prevention study
- KEEPS study
- Indications for the use of hormone therapy
- Atrial fibrillation
- Use of risk scores for stroke with atrial fibrillation
- Stroke risk and female sex
- Stroke risk scores
- Risk calculator
- Risk calculator weaknesses
- How can we improve risk factor identification?
- INTERSTROKE study
- Risk factors for stroke
- Primary prevention: better than a pill
- Primary prevention with lifestyle
- Sex & gender gap summary and future directions
- Disclosures
- Thank you!
Topics Covered
- Epidemiology of sex differences
- Stroke Prevention in Women Guideline
- Stroke risk factors unique to, or more prevalent in, women than men
- Pregnancy complications
- Menopause
- Hormonal contraception and replacement
- Atrial fibrillation
- Risk screening and prevention, including primary prevention
- Summary and future directions
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Bushnell, C. (2018, December 30). Stroke in women: epidemiology, risk and prevention [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 31, 2024, from https://doi.org/10.69645/BFPN5983.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Bushnell has no commercial/financial relationships to disclose
A selection of talks on Neurology
Transcript
Please wait while the transcript is being prepared...
0:00
Hello, my name is Cheryl Bushnell.
I am a professor of neurology and director of
the Stroke Center at Wake Forest Baptist Medical Center.
The topic I'd like to talk about today is stroke in women.
I'll be covering epidemiology, risk, and prevention.
This is an update with current information from the lecture that was recorded 10 years ago.
So, hopefully, you will find this information useful in your practice.
0:29
The overview of topics I'll cover include the epidemiology of sex differences,
stroke risk factors that are unique to or more prevalent in women than men,
which includes pregnancy complications,
menopause, hormonal contraception and replacement, and atrial fibrillation.
Then, I'll finish by talking about risk screening
and prevention of stroke in women and men
but, in particular, how this can be applied to women and their unique risk factors.
1:01
I'll give you a little more detail about the epidemiology.
Men, actually, have a higher stroke incidence than women
but, women have a 20 percent lifetime prevalence of
stroke compared to a 17 percent prevalence in men.
This is because they live longer.
So, because women live longer,
they're more likely to die from stroke, including up to
30,000 more women than men who will die as a result of a stroke.
Now, stroke is the fifth leading cause of death in men
but, it is the fourth leading cause of death in women;
again, because more women die from stroke and again, because they tend to live longer.
So, when you talk about the number of women who have had a stroke and survived,
there are actually 200,000 more disabled women from stroke than men.