ArticleEuropean stroke journal2022
European Stroke Organisation guidelines on stroke in women: Management of menopause, pregnancy and postpartum.
Article in European stroke journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Flying blind? Recommendations for monitoring of 10 common chronic diseases in guidelines from Germany, England, and Europe - a modified systematic review.BMC medicine · 2025Pooled it
- Depression and cardiovascular disease: mind the gap in the guidelines.European heart journal · 2025Pooled it
- Effects of Nimodipine on Neural Tube Development in Early Chick Embryos.Birth defects research · 2026Article
- Intravenous Thrombolysis for Stroke in First-Trimester Pregnancy: A Case Report.Journal of clinical practice and research · 2026Article
- Review
- Case of Early Postpartum Ischemic Stroke: Timely Thrombolysis and Thrombectomy for Rapid Recovery.Stroke (Hoboken, N.J.) · 2026Article
- Antiphospholipid syndrome and pregnancy-a hematologic perspective.Research and practice in thrombosis and haemostasis · 2026Article
- Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Review
- Quality of care index and gender disparity ratio for stroke and its subtypes from the Global Burden of Disease Study 2021.PloS one · 2026Article
- Sex Differences in Embolic Stroke of Undetermined Source: Echocardiographic Features and Clinical Outcomes.European journal of neurology · 2025Observational
- Association of α-HBDH levels with the severity and recurrence after acute ischemic stroke.European journal of medical research · 2024Article
- Do stroke services still show sex differences? A multicenter study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Hormones and thrombosis: the dark side of the moon.Blood transfusion = Trasfusione del sangue · 2024Review
- Article
- Sex and hypertensive organ damage: stroke.Journal of human hypertension · 2023Review
- Acute revascularization therapy for ischemic stroke during pregnancy and post-partum in France.European stroke journal · 2023Observational
- Evaluation and subgroup analysis of the efficacy and safety of intensive rosuvastatin therapy combined with dual antiplatelet therapy in patients with acute ischemic stroke.European journal of clinical pharmacology · 2023Article
- Acute Ischemic Stroke in Pregnancy : A Practical Focus on Neuroimaging and Reperfusion Therapy.Clinical neuroradiology · 2023Review
- Thrombolytic Dilemma: A Case Report of Early Puerperium Ischemic Stroke Treated With Intravenous Thrombolysis.Cureus · 2023Article
- Editorial: Sex differences in cerebrovascular diseases.Frontiers in neurology · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
15 authors at 14 institutions in 12 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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