Sirna S, Biller J, Skorton D J, Seabold J E
Department of Internal Medicine, University of Iowa College of Medicine, Iowa City.
Stroke. 1990 Jan;21(1):14-23. doi: 10.1161/01.str.21.1.14.
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.
冠状动脉疾病和缺血性脑血管疾病是美国发病和死亡的主要原因。冠状动脉疾病常与无症状性颈动脉粥样硬化、短暂性脑缺血发作或缺血性中风并存。大量研究表明，各种形式的缺血性脑血管疾病导致的死亡主要归因于冠状动脉疾病。因此，人们越来越关注在脑血管疾病患者中识别冠状动脉疾病，包括那些没有心脏病临床表现的患者。我们综述了目前用于检测冠状动脉疾病的非侵入性技术的应用，并提出了筛查缺血性心脏病的实用方法。还讨论了目前针对脑梗死潜在心源性栓子来源的诊断成像方法。
