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European Stroke Org...
European Stroke Organisation guidelines on stroke in women : Management of menopause, pregnancy and postpartum
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- Kremer, Christine (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Gdovinova, Zuzana (författare)
- Pavol Jozef Safarik University in Kosice
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- Bejot, Yannick (författare)
- University of Burgundy
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- Heldner, Mirjam R. (författare)
- University of Bern
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- Zuurbier, Susanna (författare)
- Academic Medical Center of University of Amsterdam (AMC)
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- Walter, Silke (författare)
- Saarland University
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- Lal, Avtar (författare)
- European Stroke Organisation
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- Epple, Corina (författare)
- Klinikum Hanau
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- Lorenzano, Svetlana (författare)
- Sapienza University of Rome
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- Mono, Marie Luise (författare)
- Bern University Hospital
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- Karapanayiotides, Theodore (författare)
- Aristotle University of Thessaloniki
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- Krishnan, Kailash (författare)
- Nottingham University Hospitals NHS Trust
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- Jovanovic, Dejana (författare)
- Clinical Center of Serbia
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- Dawson, Jesse (författare)
- University of Glasgow
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- Caso, Valeria (författare)
- University of Perugia
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(creator_code:org_t)
- 2022-03-29
- 2022
- Engelska.
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Ingår i: European Stroke Journal. - : SAGE Publications. - 2396-9873 .- 2396-9881. ; 7:2
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Pregnancy, postpartum and menopause are regarded as periods women are more vulnerable to ischaemic events. There are conflicting results regarding stroke risk and hormone replacement therapy (HRT) during menopause. Stroke in pregnancy is generally increasing with serious consequences for mother and child; therefore, recommendations for acute treatment with intravenous thrombolysis (IVT) and/or mechanical thrombectomy (MT) are needed. The aim of this guideline is to support and guide clinicians in treatment decisions in stroke in women. Following the “Grading of Recommendations and Assessment, Development and Evaluation (GRADE)” approach, the guidelines were developed according to the European Stroke Organisation (ESO) Standard Operating Procedure. Systematic reviews and metanalyses were performed. Based on available evidence, recommendations were provided. Where there was a lack of evidence, an expert consensus statement was given. Low quality of evidence was found to suggest against the use of HRT to reduce the risk of stroke (ischaemic and haemorrhagic) in postmenopausal women. No data was available on the outcome of women with stroke when treated with HRT. No sufficient evidence was found to provide recommendations for treatment with IVT or MT during pregnancy, postpartum and menstruation. The majority of members suggested that pregnant women can be treated with IVT after assessing the benefit/risk profile on an individual basis, all members suggested treatment with IVT during postpartum and menstruation. All members suggested treatment with MT during pregnancy. The guidelines highlight the need to identify evidence for stroke prevention and acute treatment in women in more vulnerable periods of their lifetime to generate reliable data for future guidelines.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- guidelines
- menopause
- postpartum
- pregnancy
- Stroke
- women
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Kremer, Christin ...
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Gdovinova, Zuzan ...
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Bejot, Yannick
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Heldner, Mirjam ...
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Zuurbier, Susann ...
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Walter, Silke
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Lal, Avtar
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Epple, Corina
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Lorenzano, Svetl ...
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Mono, Marie Luis ...
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Karapanayiotides ...
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Krishnan, Kailas ...
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Jovanovic, Dejan ...
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Dawson, Jesse
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Caso, Valeria
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visa färre...
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