Stroke, Vol 21, 14-23, Copyright © 1990 by American Heart Association
S Sirna, J Biller, DJ Skorton and JE Seabold
Coronary artery disease and ischemic cerebrovascular disease are leading
causes of morbidity and mortality in the United States. Coronary artery
disease often coexists with asymptomatic carotid artery atherosclerosis,
transient ischemic attacks, or ischemic stroke. Numerous studies have shown
that mortality from all forms of ischemic cerebrovascular disease is
primarily due to coronary artery disease. Thus, there is increasing
interest in identifying coronary artery disease in patients with
cerebrovascular disease, including those without clinical manifestations of
heart disease. We review the use of current noninvasive techniques to
detect coronary artery disease and present practical approaches to screen
for ischemic heart disease. Current diagnostic imaging methods for
potential cardioembolic sources of cerebral infarction are also discussed.
ARTICLES
Cardiac evaluation of the patient with stroke
Department of Internal Medicine, University of Iowa College of Medicine, Iowa City.
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