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. 2021 Mar;25(3):152-155.
doi: 10.5152/AnatolJCardiol.2021.75548.

Risk of a coronary event in patients after ischemic stroke or transient ischemic attack

Affiliations

Risk of a coronary event in patients after ischemic stroke or transient ischemic attack

Ivan Poledník et al. Anatol J Cardiol. 2021 Mar.

Abstract

Coronary artery disease (CAD) together with stroke are the leading causes of death worldwide, and together, they pre-sent a health and economic burden. Ischemic stroke survivors and patients who suffered transient ischemic attack (TIA) have a higher prevalence of coronary atherosclerosis, and they have a relatively high risk of myocardial infarcti-on and nonstroke vascular death. Pubmed was searched for studies focused on investigating coronary atherosclerosis in ischemic stroke survivors or patients who suffered TIA and their cardiovascular risk assessment. There were corona-ry plaques in 48%-70% of stroke survivors without a known history of CAD, and significant stenosis of at least one coronary artery can be found in 31% of these patients. CAD is a major cause of morbidity and mortality in stroke survivors. Detection and treatment of silent CAD may improve the long-term outcome and survival of these patients.

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Conflict of interest statement

Conflict of interest: None declared.

Comment in

References

    1. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020;141:e139–596. doi: 10.1161/CIR.0000000000000746. - DOI - PubMed
    1. Touzé E, Varenne O, Chatellier G, Peyrard S, Rothwell PM, Mas JL. Risk of myocardial infarction and vascular death after transient ischemic attack and ischemic stroke: a systematic review and meta-analysis. Stroke. 2005;36:2748–55. doi: 10.1161/01.STR.0000190118.02275.33. - DOI - PubMed
    1. Rokey R, Rolak LA, Harati Y, Kutka N, Verani MS. Coronary artery disease in patients with cerebrovascular disease: a prospective study. Ann Neurol. 1984;16:50–3. doi: 10.1002/ana.410160110. - DOI - PubMed
    1. Love BB, Grover-McKay M, Biller J, Rezai K, McKay CR. Coronary artery disease and cardiac events with asymptomatic and symptomatic cerebrovascular disease. Stroke. 1992;23:939–45. doi: 10.1161/01.STR.23.7.939. - DOI - PubMed
    1. Kannel WB. Risk factors for atherosclerotic cardiovascular outcomes in different arterial territories. J Cardiovasc Risk. 1994;1:333–9. doi: 10.1097/00043798-199412000-00009. - DOI - PubMed