WSU neurology professor discusses stroke risk in younger patients
Stroke is the third leading cause of death in women, behind heart disease and cancer. Earlier this month, the American Stroke Association and the American Heart Association issued the first-ever guidelines for reducing stroke in women, bringing into sharp focus gender-specific risk factors - complications during pregnancy, long-term use of oral contraceptives and a higher disposition to certain migraines, for example. The "Guidelines for the Prevention of Stroke in Women" recommends health providers better screen women for these risk factors and broadens the spotlight beyond the need for immediate medical care. The guidelines are a clear signal to physicians to have more regular conversations with female patients about stroke risks, said Dr. Sandra Narayanan, director of neurology and interventional neuroradiology at Oakwood Hospital and a neurology professor at the Wayne State University School of Medicine. She said doctors often rush through explanations in the exam room, and assume that patients understand the severity of certain medical issues. "When we say, 'Your cardiovascular risk factors aren't under control,' we think they know what that means. Many times, they don't," she said. "It's our responsibility to use these guidelines ... to either refer patients to them or let them know we can translate for them." Moreover, clinicians often reserve conversations about stroke for elderly patients, she said. "We see now that we need to have those conversations among younger patients. ... The 30- and 40-year olds with stroke - that's become more common over the past 10 years," she said.