Coronary risk stratification in patients with ischemic stroke or transient ischemic stroke attack

International Journal of Stroke : Official Journal of the International Stroke Society
Emmanuel TouzéJean-Louis Mas

Abstract

The risk of coronary artery disease (CAD) is traditionally considered high in patients who had an ischemic stroke or a transient ischemic attack (TIA). However, few studies have specifically assessed the absolute risk of coronary events in those patients and predictors of such events are not well known. The overall risks of myocardial infarction and nonstroke vascular death are each around 2% per year. However, those risks are only about 1% per year in patients without CAD (i.e. the only ones who are likely to benefit from specific additional strategies). The prevalence of asymptomatic CAD ranges from 15% to 60%. Although potentially higher, the risk of CAD in patients with stroke/TIA related to atherosclerosis also seems to vary widely depending on the extent of the disease. Given the relatively low CAD risk, a simple systematic reinforcement of medical treatment in all patients may be not relevant. Up to now, there have been only limited ways to stratify the CAD risk in stroke/TIA patients. High-risk patients may be identified using the traditional cardiac scoring systems, but their validity has never been specifically assessed in stroke populations. The relative influence of traditional risk factors may be altered after a fi...Continue Reading

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Citations

Jun 30, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ranil De SilvaPryani Amarasinghe
Jul 17, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·David CalvetJean-Louis Mas
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Feb 12, 2019·Coronary Artery Disease·Jakub SulženkoPiotr Pieniazek
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Oct 9, 2014·American Journal of Hematology·Stephan KadaukeElizabeth M Van Cott
Nov 14, 2021·BMC Cardiovascular Disorders·Iram Faqir MuhammadGunnar Engström

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Methods Mentioned

BETA
coronary bypass

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