• Ann Acad Med Singap · Jul 2008

    Concomitant coronary artery disease among Asian ischaemic stroke patients.

    • Deidre Anne De Silva, Fung Peng Woon, Kyaw Thu Moe, Christopher L H Chen, Hui Meng Chang, and Meng Cheong Wong.
    • Singapore General Hospital campus, National University of Singapore, Singapore. deidre.a.de.silva@sgh.com.sg
    • Ann Acad Med Singap. 2008 Jul 1; 37 (7): 573-5.

    IntroductionCoronary artery disease (CAD) is the leading cause of death following ischaemic stroke. We aimed to study the prevalence and associations of concomitant CAD among ischaemic stroke patients in Singapore.Materials And MethodsWe prospectively studied 2686 consecutive Asian ischaemic stroke patients.ResultsCAD was prevalent among 24% of the study patients. Older age, hypertension, diabetes, hyperlipidaemia, atrial fibrillation, large stroke and South Asian ethnicity were independently associated with CAD.ConclusionsThe variables found to be associated with CAD are known atherosclerotic risk factors (older age, hypertension, diabetes, hyperlipidaemia) or associations of cardioembolic stroke (atrial fibrillation, large stroke). The over-representation of South Asians with concomitant CAD is consistent with the high burden of CAD in this ethnic group.

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