Abstract

large series of consecutive patients with a nonfatal cerebral infarction and no previously known coronary heart disease. Coronary plaques on angiography were present in 61.9% of patients and diameter stenosis more than 50% was found in 25.7% of stroke patients [5]. This study included patients largely irrespective of the cause of stroke. A French study based on systematic 64-section computed tomography coronary angiography shows that almost 20% of patients between 45 and 75 years of age with non-disabling, non-cardioembolic ischemic stroke or transitory ischemic accident (TIA) have asymptomatic coronary artery disease (CAD) defined as coronary diameter stenosis of 50% or more [6]. The results of the present study by Hur and colleagues [7] with a prevalence of obstructive CAD (coronary diameter stenosis of 50% or more) based on coronary computed tomography angiography assessment of 48% corroberate and extend previous findings.

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