Coronary risk evaluation in patients with transient ischemic attack and ischemic stroke: a scientific statement for healthcare professionals from the Stroke Council and the Council on Clinical Cardiology of the American Heart Association/American Stroke Association.

摘要: Stroke and myocardial infarction (MI) share common risk factors pathological mechanisms, coronary artery disease (CHD) is an important cause of death in patients with cerebrovascular disease. This Scientific Statement addresses issues management the relatively healthy patient brain ischemia (a transient ischemic attack [TIA] or stroke) who does not have recognized CHD but often has addition to having had a TIA stroke that indicate increased likelihood disability from cardiac future. should be confused official American College Cardiology (ACC)/American Heart Association (AHA) practice guidelines. The reader referred ACC/AHA guidelines for symptomatic CHD1 Chest Physicians (ACCP)2 (ASA)3–5 evaluation causes stroke, which are related separate issues. Several small studies shown high prevalence asymptomatic CHD.6–8 Rokey et al6 performed exercise thallium (Tl) 201 scintigraphy radionuclide ventriculography on 50 consecutive stroke. Sixteen symptoms suggestive ischemia; other 34 were asymptomatic. results perfusion imaging abnormal 15 16 (94%) 14 (41%). Twenty-two underwent angiography, showed severe (≥70% stenosis lumen ≥1 artery) 18 (10 13 8 9 patients). Twelve multivessel disease. In study by Di Pasquale al,7 83 minor no …