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News & Analysis Mike Mitka, MSJ or the first time, the American Heart .06663.48 [published online February 6, • Pregnant women with moderately high Association/American Stroke Asso- 2014]). The guidelines also address risk fac- blood pressure (150-159/100-109 mm Hg) F ciation (AHA/ASA) has issued guide- tors found in both sexes that tend to be may be considered for blood pressure lines for the prevention of stroke specifi- stronger in women, such as hypertension, medication, while those with severe high callyforwomen.Theguidelinesareintended migraine with aura, atrial fibrillation, diabe- blood pressure (160/110 mm Hg) should for use by primary care physicians and ob- tes, depression, and emotional stress. be treated. stetricians/gynecologists (ob/gyns). But ob/ • Before taking oral contraceptives, women gyns are taking issue with some of the rec- should be screened for high blood pres- ommendations regarding pregnant women sure, as the combination raises stroke risks. with hypertension, preeclampsia, or both. “We’d like to see women getting their Much of the information in the new blood pressure checked regularly and main- guidelines has appeared in earlier general tainingahealthylifestyleearlierintheirlives,” cardiovascular guidelines that addressed ratherthanthinkofstrokeasadiseaseaffect- stroke prevention for both men and women. ingonlyolderpersons,saidJamesM.Roberts, But because stroke occurs more often in MD,chairoftheAmericanCollegeofObstetri- women than
JAMA – American Medical Association
Published: Mar 12, 2014
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