Is there a consistent association between coronary heart disease and ischemic stroke caused by intracranial atherosclerosis?

被引:16
作者
Conforto, Adriana B. [1 ,2 ]
Leite, Claudia da Costa [3 ]
Nomura, Cesar H. [3 ,4 ]
Bor-Seng-Shu, Edson [5 ]
Santos, Raul D. [6 ]
机构
[1] Univ Sao Paulo, Hosp Clin, Neurol Clin Div, Stroke Grp, Sao Paulo, Brazil
[2] Univ Sao Paulo, Ctr Interdisciplinary Res Appl Neurosci NAPNA, Inst Israelita Ensino & Pesquisa, Hosp Israelita Albert Einstein, Sao Paulo, Brazil
[3] Univ Sao Paulo, Hosp Clin, Dept Radiol, Sao Paulo, Brazil
[4] Univ Sao Paulo, Hosp Clin, Inst Heart, Sao Paulo, Brazil
[5] Univ Sao Paulo, Hosp Clin, Div Neurosurg, Sao Paulo, Brazil
[6] Univ Sao Paulo, Hosp Clin, Inst Heart, Lipid Clin, Sao Paulo, Brazil
关键词
stroke; coronary disease; intracranial arteriosclerosis; atherosclerosis; HEALTH-CARE PROFESSIONALS; RISK-FACTORS; MYOCARDIAL-INFARCTION; CARDIOVASCULAR RISK; CEREBRAL ATHEROSCLEROSIS; AGGRESSIVE-REDUCTION; NORTHERN MANHATTAN; AUTOPSY PREVALENCE; OCCLUSIVE DISEASE; ARTERY-DISEASE;
D O I
10.1590/0004-282X20130028
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Coronary heart disease and ischemic stroke are frequent coexistent conditions that share risk factors and pose major burdens to global health. Even though a clear relation has been established between extracranial internal carotid artery atherosclerosis and symptomatic or asymptomatic coronary heart disease, there is a gap in knowledge about the association between intracranial atherosclerosis and coronary heart disease. Intracranial atherosclerosis is associated with high risks of stroke recurrence and vascular death. More research and clinical trials are needed to answer whether early diagnosis of asymptomatic coronary heart disease and aggressive treatment can decrease the risk of vascular death in patients with ischemic stroke caused by intracranial atherosclerosis.
引用
收藏
页码:320 / 326
页数:7
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