Stroke: After a brief isoemia attack, clinical characteristics and prognosis are different for men and women

Differences in incidence, manifestations and outcomes of ischemic stroke between sexes have been studied in depth.
incidence of stroke was lower in women than in men, but the incidence of important vascular risk factors such as atrial fibrillation was higher.
women are older when they have a stroke, the stroke is more severe, and the results are worse.
even so, there is currently limited data on gender differences in clinical manifestations, etiology, imaging characteristics and prognosis after a short-term isoemia attack (TIA).
recently, some researchers observed a similar risk of subsequent vascular events between the sexes in a forward-looking group of stroke patients.
risk of early stroke after TIA is high and requires urgent treatment, but few studies have focused on the long-term risk of stroke after TIA.
this, gender differences in baseline characteristics, manifestations, etiology, neuroimaging characteristics, and long-term prognostic predictive factors in patients with TIA, such as Francisco Purroy of the University Hospital of Leirida, Spain.
they conducted a forward-looking cohort study of non-determinist TIA events in a continuous TIA patient from January 2006 to June 2010 that defined isolated atypical symptoms.
the median follow-up time was 6.5 (quarter-digit range, 5.0-9.6), the compound risk of stroke recurrence (SR) and major vascular events was calculated by gender stratation.
results showed that 302 of the 723 patients in the study had major vascular events.
of the 723 patients studied, 302 (41.8%) were women and 79 (10.9%) had ambiguous TIA events.
weighted imaging pattern (OR 1.61) and non-determinical TIA events (OR 2.66) were associated with women, while active smoking (OR 0.3) and atherosclerosis (OR 0.5) were associated with men.
SR risk is similar to that of men and women (12.6 per cent for women and 14.3 per cent for men).
, women had a significantly lower risk of major vascular events than men (17.5% vs. 23.8 percent).
men and women, atherosclerosis is associated with SR (HR 3.22 vs HR 2.00) after age adjustment.
in Kaplan-Meier analysis, the risk of SR increased significantly in women who were positive for dispersive weighted imaging (P=0.014) and clear TIA (TX rank test P=0.022).
importance of this study is that, although the risks of SR are similar, there are gender-related differences in baseline characteristics, manifestations, acute ishemopathic patterns, causes and outcomes.
it is therefore necessary to take these differences into account in order to determine the best prevention strategy.
origins: Purroy, F., Vicente-Pascual, M., Arque, G., Baraldes-Rovira, M., Begue, R., Gallego, Y., ... & Vazquez-Justes, D. (2021). Sex-Related Differences in Clinical Features, Neuroimaging, and Long-Term Prognosis After Transient Ischemic Attack. The text, images, and audio and video materials of "Source: Mets Medicine" or "Source: MedSci Original" are owned by Meise Medical and are not authorized, may not be reproduced by any media, website or individual, and shall be reproduced with the authorization of "Source: Mess Medicine".
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