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  • Kremer, ChristineLund 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 (författare)

European Stroke Organisation guidelines on stroke in women : Management of menopause, pregnancy and postpartum

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2022-03-29
  • SAGE Publications,2022

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:619370f2-fdeb-42e6-aaeb-a0c96c16a13a
  • https://lup.lub.lu.se/record/619370f2-fdeb-42e6-aaeb-a0c96c16a13aURI
  • https://doi.org/10.1177/23969873221078696DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Gdovinova, ZuzanaPavol Jozef Safarik University in Kosice (författare)
  • Bejot, YannickUniversity of Burgundy (författare)
  • Heldner, Mirjam R.University of Bern (författare)
  • Zuurbier, SusannaAcademic Medical Center of University of Amsterdam (AMC) (författare)
  • Walter, SilkeSaarland University (författare)
  • Lal, AvtarEuropean Stroke Organisation (författare)
  • Epple, CorinaKlinikum Hanau (författare)
  • Lorenzano, SvetlanaSapienza University of Rome (författare)
  • Mono, Marie LuiseBern University Hospital (författare)
  • Karapanayiotides, TheodoreAristotle University of Thessaloniki (författare)
  • Krishnan, KailashNottingham University Hospitals NHS Trust (författare)
  • Jovanovic, DejanaClinical Center of Serbia (författare)
  • Dawson, JesseUniversity of Glasgow (författare)
  • Caso, ValeriaUniversity of Perugia (författare)
  • Neurologi, LundSektion IV (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Stroke Journal: SAGE Publications7:22396-98732396-9881

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