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KMID : 0359720160340020091
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Journal of the Korean Neurological Association
2016 Volume.34 No. 2 p.91 ~ p.98
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Scientific Statement for Screening of Coronary Artery Disease in Patients with Ischemic Stroke
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Song Dong-Beom
Kim Young-Dae
Hong Keun-Sik
Yoon Byung-Woo
Lee Byung-Chul
Rha Joung-Ho
Kwon Sun-Uck
Bae Hee-Joon
Yu Kyung-Ho
Park Jong-Moo
Park Kwang-Yeol
Ko Sang-Bae
Oh Chang-Wan
Kim Jeong-Eun
Heo Ji-Hoe
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Abstract
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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.
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KEYWORD
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Ischemic stroke, Myocardial infarction, Coronary artery disease, Screening, Scientific statement
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