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J Korean Neurol Assoc. 2016 May;34(2):91-98. Korean. Review. https://doi.org/10.17340/jkna.2016.2.1
Song D , Kim YD , Hong KS , Yoon BW , Lee BC , Rha JH , Kwon SU , Bae HJ , Yu KH , Park JM , Park KY , Ko SB , Oh CW , Kim JE , Heo JH .
Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. jhheo@yuhs.ac
Department of Neurology, Inje University College of Medicine, Goyang, Korea.
Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
Department of Neurology, Hallym University College of Medicine, Anyang, Korea.
Department of Neurology, Inha University College of Medicine, Incheon, Korea.
Department of Neurology, University of Ulsan College of Medicine, Seoul, Korea.
Department of Neurology, Eulji University College of Medicine Seoul, Korea.
Department of Neurology, Chung-Ang University College of Medicine, Seoul, Korea.
Department 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.

Copyright © 2019. Korean Association of Medical Journal Editors.