J Korean Neurol Assoc.  2016 May;34(2):91-98. 10.17340/jkna.2016.2.1.

Scientific Statement for Screening of Coronary Artery Disease in Patients with Ischemic Stroke

Affiliations
  • 1Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. jhheo@yuhs.ac
  • 2Department of Neurology, Inje University College of Medicine, Goyang, Korea.
  • 3Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
  • 4Department of Neurology, Hallym University College of Medicine, Anyang, Korea.
  • 5Department of Neurology, Inha University College of Medicine, Incheon, Korea.
  • 6Department of Neurology, University of Ulsan College of Medicine, Seoul, Korea.
  • 7Department of Neurology, Eulji University College of Medicine Seoul, Korea.
  • 8Department of Neurology, Chung-Ang University College of Medicine, Seoul, Korea.
  • 9Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Ischemic stroke and myocardial infarction share common risk factors and pathophysiologic mechanisms. Unrecognized coronary artery disease typically occurs in 20-30% of patients with ischemic stroke, and its presence helps to predict the outcome. Coronary artery disease is also an important cause of morbidity and mortality in patients with ischemic stroke. Therefore, applying a screening test for asymptomatic coronary artery disease may be considered in ischemic stroke patients who have a high cardiovascular risk profile. Coronary computed tomography (CT) angiography, myocardial perfusion imaging, or stress echocardiography can be used as a screening test. Coronary CT angiography is recommended in the absence of allergy to contrast media and renal insufficiency.

Keyword

Ischemic stroke; Myocardial infarction; Coronary artery disease; Screening; Scientific statement

MeSH Terms

Angiography
Contrast Media
Coronary Artery Disease*
Coronary Vessels*
Echocardiography, Stress
Humans
Hypersensitivity
Mass Screening*
Mortality
Myocardial Infarction
Myocardial Perfusion Imaging
Renal Insufficiency
Risk Factors
Stroke*
Contrast Media
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