The Impact of Sex and Gender on Stroke

Circ Res. 2022 Feb 18;130(4):512-528. doi: 10.1161/CIRCRESAHA.121.319915. Epub 2022 Feb 17.

Abstract

Women face a disproportionate burden of stroke mortality and disability. Biologic sex and sociocultural gender both contribute to differences in stroke risk factors, assessment, treatment, and outcomes. There are substantial differences in the strength of association of stroke risk factors, as well as female-specific risk factors. Moreover, there are differences in presentation, response to treatment, and stroke outcomes in women. This review outlines current knowledge of impact of sex and gender on stroke, as well as delineates research gaps and areas for future inquiry.

Keywords: gender identity; hemorrhagic stroke; ischemic stroke; sex; stroke; women.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Diabetes Mellitus / blood
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus / physiopathology
  • Estrogens / blood
  • Female
  • Humans
  • Hypertension / blood
  • Hypertension / epidemiology
  • Hypertension / physiopathology
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / blood
  • Pregnancy Complications, Cardiovascular / epidemiology
  • Pregnancy Complications, Cardiovascular / physiopathology
  • Risk Factors
  • Sex Characteristics*
  • Sex Factors
  • Stroke / blood
  • Stroke / epidemiology*
  • Stroke / physiopathology*

Substances

  • Estrogens