More strokes for men; more deadly for women
We’ve now moved beyond May, National Stroke Month, but guess what? Stroke risks
don’t keep a calendar. We’re all at risk, even when our attention is turned away.
Women are also less knowledgeable about their risk factors and don’t perceive
themselves at risk for stroke.
But, make no mistake, a stroke is always a medical emergency and remains the third
leading cause of death for women.
And here’s a sobering statistic -- every year, stroke causes twice as many deaths in
women as deaths due to breast cancer.
Even if not deadly, strokes can be devastating, disfiguring and disabling. However,
the good news is that early treatment will minimize brain damage and potential
What are the causes of stroke?
A stroke occurs when the blood supply to part of your brain is interrupted or
severely reduced, depriving brain tissue of oxygen and nutrients. There are two main
types of strokes–ischemic and hemorrhagic. Most strokes (about 85%) are caused by
blocked vessels (ischemic stroke) and the other 15% are caused by bleeding, leaking
or bursting vessels (hemorrhagic stroke.)
Some women may also present only with a temporary disruption of blood flow to their
brain; known as transient ischemic attack (TIA). These usually lasts 5 minutes or
less displaying symptoms similar to those of a have in a stroke. A TIA doesn't
leave lasting symptoms because the blockage is temporary. But even if your symptoms
resolve, take them seriously and see your doctor immediately, because a TIA elevates
your risk of having a stroke, which may cause permanent damage. Learn more about the
types of strokes here.
What are the symptoms of a stroke?
It is important to recognize the signs of stroke because prompt diagnosis and
treatment may be the difference between life, death or further complications.
- Sudden weakness or numbness in the face, arm, or leg on one side of the
- Sudden trouble with speaking and understanding (confusion, slurred words,
difficulty understanding speech).
- Sudden trouble seeing with one or both eyes (especially in one eye), you may see
- Unexplained dizziness or sudden falls.
- Sudden trouble walking, loss of balance or coordination, possibly accompanied by
vomiting, nausea, fever, hiccups or trouble swallowing.
- Sudden and severe headache with no other cause.
- Brief loss of consciousness.
Although symptoms may appear slowly or suddenly, the underlying conditions that lead
to stroke are usually present for years before a stroke happens.
What are the risk factors for a stroke?
As we get older our risk of stroke increases. Although men are at higher risk of
stroke—women suffer from stroke much later in age, making them more prone to die
from stroke. African-Americans in general have higher risk of stroke.
Non modifiable risk factors (things we cannot change):
- Age 55 or older.
- Race — African-Americans have a higher risk of stroke than do people of other
- Gender — Men present a higher risk of stroke than women. But women suffer of
stroke in older ages making them more prone to die from stroke than are men.
Life style risk factors (things we CAN change)
- Smoking, (including second hand smoking)
- Being overweight (BMI>25) or obese (BMI>30)
- Lack of cardiovascular exercise
- Heavy or binge drinking
- Use of illicit drugs including cocaine and methamphetamines
Medical risk factors (things we CAN change)
- High blood pressure (>120/80mmHg)
- High cholesterol (Total cholesterol >200, LDL >130, Triglycerides
- Diabetes mellitus
- Family history of stroke and/or cardiovascular disease, including heart failure,
heart defect, heart infection and abnormal heart rhythm
Risk factors unique to women include:
- Suffering from migraine headaches with aura (symptoms you feel shortly before
the migraine begins, such as nausea).
- Taking birth control pills. Combined with risk factors, such as age, cigarette
- Hormone Replacement Therapy (HRT), any estrogen with or without progesterone to
relieve menopausal symptoms (pill, bioidenticals) or testosterone.
One way you can improve your odds of avoiding a stroke is to learn about certain
lifestyle changes and, if necessary, medications you can take to lower your stroke
When to Look for Medical Attention
If you experience or notice any of the typical or atypical signs or symptoms in you
or your loved one, seek immediately for medical help— even if they fluctuate.
" and call 911 or your local emergency number. Don't
wait to see if symptoms go away. Every minute counts
The longer a stroke goes untreated, the greater the potential for brain damage and
disability. Treatment is critical and varies depending on the type of stroke you
If you have already suffered a stroke, your treatment will also focus on preventing
another stroke. This may include:
- Maintaining a normal blood pressure. High blood pressure, is the most common
risk factor for having a stroke, taking your medicines to lower or prevent
hypertension and making changes to your diet and daily activities will help you make
- Control your diabetes. Keep blood sugar levels within normal range by having a
healthy diet, exercise and being compliant with your diabetes medication.
- Taking aspirin or anticoagulants prescribed by your physician.
- Quit smoking if you haven’t yet.
- Avoid Hormone Replacement Therapy.
If you have suffered a stroke, a rehabilitation program may help to recover faster
and you should not be ashamed to seek help. Like all other health conditions, it is
always best to be involved and compliant with your care, the more you participate
the better you will improve.
Until next time!