Vigorous investigation of cardiac status and treatment of coronary artery disease is proposed to prolong survival in patients with transient ischemic attacks.
Does vigorous investigation and treatment of coronary artery disease improve survival in patients with transient ischemic attacks?
The paper highlights the critical need to screen for and treat coronary artery disease in patients with transient ischemic attacks to prevent death from myocardial infarction.
Current and future improvements in treatment to prevent cerebral infarction among patients with transient ischemic attacks may reduce neurological morbidity but may not lead to a proportional improvement in life expectancy. Because the long-term primary cause of death in these patients is myocardial infarction, it is most likely that the most important way to prolong survival may be the vigorous investigation of their cardiac status and the treatment of their coronary artery disease, even if asymptomatic.
Adams et al. (1984) conducted an editorial in Transient ischemic attacks. Investigation of cardiac status and treatment of coronary artery disease was evaluated. Vigorous investigation of cardiac status and treatment of coronary artery disease is proposed to prolong survival in patients with transient ischemic attacks.