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Ischemic stroke across sexes: What is the status quo?

Type of publication Peer-reviewed
Publikationsform Review article (peer-reviewed)
Author Liberale Luca, Carbone Federico, Montecucco Fabrizio, Gebhard Cathérine, Lüscher Thomas F., Wegener Susanne, Camici Giovanni G.,
Project Predicting outcome after stroke: take a look at the other side
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Review article (peer-reviewed)

Journal Frontiers in Neuroendocrinology
Volume (Issue) 50
Page(s) 3 - 17
Title of proceedings Frontiers in Neuroendocrinology
DOI 10.1016/j.yfrne.2018.05.001

Abstract

Stroke prevalence is expected to increase in the next decades due to the aging of the Western population. Ischemic stroke (IS) shows an age- and sex-dependent distribution in which men represent the most affected population within 65 years of age, being passed by post-menopausal women in older age groups. Furthermore, a sexual dimorphism concerning risk factors, presentation and treatment of IS has been widely recognized. In order to address these phenomena, a number of issue have been raised involving both socio-economical and biological factors. The latter can be either dependent on sex hormones or due to intrinsic factors. Although women have poorer outcomes and are more likely to die after a cerebrovascular event, they are still underrepresented in clinical trials and this is mirrored by the lack of sex-tailored therapies. A greater effort is needed in the future to ensure improved treatment and quality of life to both sexes.
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