Why the study?
It was unclear whether subgroups of TIA or ischemic stroke patients without prior CAD have a similarly high risk of myocardial infarction as those with prior CAD, potentially justifying more intensive secondary prevention.
Does the Essen Risk Score predict the 10-year risk of myocardial infarction in patients with TIA or ischemic stroke without prior CAD?
Does the Essen Risk Score predict the 10-year risk of myocardial infarction in patients with TIA or ischemic stroke without prior CAD?
The Essen score can identify a subset of TIA/stroke patients without prior CAD who have a high 10-year risk of myocardial infarction and recurrent stroke, comparable to those with prior CAD.
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May identify high-MI-risk TIA/stroke patients without CAD for targeted prevention; leaves open whether Essen score stratification improves outcomes.
Boulanger et al. (2019) studied this question.