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Chapter 4.1 - Medication-Related Stroke

from 4 - Drug-Related Stroke

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
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Summary

A 53-year-old woman, with no vascular risk factors or significant previous medical history experienced first ischemic stroke and was successfully treated with thrombolysis. A thorough diagnostic work-up and long term follow up did not reveal any cardiovascular condition, the patient had been on hormone replacement therapy for 7 years at the time of the cerebrovascular accident. Effect of hormone replacement therapy and the role of other commonly prescribed drugs on the stroke burden risk are briefly discussed. Individualized therapeutic plan balancing risks, benefits, comorbidities and patients choice is recommended to reduce stroke burden especially in patients needing polytherapy

Type
Chapter
Information
Rare Causes of Stroke
A Handbook
, pp. 185 - 189
Publisher: Cambridge University Press
Print publication year: 2022

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References

Bushnell, C, McCullough, LD, Awad, IA, et al. Guidelines for the prevention of stroke in women: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45: 15451588.Google Scholar
Renoux, C, Dell’aniello, S, Garbe, E, Suissa, S. Transdermal and oral hormone replacement therapy and the risk of stroke: A nested case-control study. Br Med J. 2010;340: c2519.CrossRefGoogle ScholarPubMed
Lundberg, GP, Wenger, NK. Menopause hormone therapy: What a cardiologist needs to know. Expert analysis. American College of Cardiology. 2019. www.Menopause Hormone Therapy: What a Cardiologist Needs to Know - American College of Cardiology (acc.org) (accessed February 2022).Google Scholar
Loo, SY, Azoulay, L, Nie, R, et al. Cardiovascular and cerebrovascular safety of testosterone replacement therapy among aging men with low testosterone levels: A cohort study. Am J Med. 2019;132(9): 1069–1077.e4.Google Scholar
Varas-Lorenzo, C, Riera-Guardia, N, Calingaert, B, et al. Stroke risk and NSAIDs: a systematic review of observational studies. Pharmacoepidemiol Drug Saf. 2011;20(12): 12251236.CrossRefGoogle ScholarPubMed
Cooper, C, Chapurlat, R, Al-Daghri, N, et al. Safety of oral non-selective non-steroidal anti-inflammatory drugs in osteoarthritis: What does the literature say? Drugs Aging. 2019;36(Suppl 1): 1524.CrossRefGoogle ScholarPubMed
Trajkova, S, d’Errico, A, Soffietti, R, Sacerdote, C, Ricceri, F. Use of Antidepressants and Risk of Incident Stroke: A Systematic Review and Meta-Analysis. Neuroepidemiology. 2019;53(3–4): 142151.CrossRefGoogle ScholarPubMed
Gamble, DT, Clark, AB, Luben, RN, et al. Baseline anticholinergic burden from medications predicts incident fatal and non-fatal stroke in the EPIC-Norfolk general population. Int J Epidemiology. 2018;47(2): 625633.CrossRefGoogle ScholarPubMed

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