Identification and management of polyvascular disease in patients with noncardioembolic ischaemic stroke.
Recent registry results have shown that polyvascular disease (PolyVD), usually manifested as coronary heart disease or peripheral arterial disease (PAD), is a marker of increased morbidity and mortality in patients with noncardioembolic ischaemic stroke, but is often inadequately assessed. This Personal View Paper advocates routine examination for PolyVD in such patients. Peripheral arterial disease can be readily detected in routine practice by measurement of the ankle-brachial index. This paper makes recommendations for risk stratification, discharge documentation and, where possible, management of ischaemic stroke patients with PolyVD.
Carolei
Antonio
A
Department of Neurology, University of L'Aquila, L'Aquila, Italy.
Chamorro
Angel
A
Laloux
Patrice
P
Leys
Didier
D
Röther
Joachim
J
Sander
Dirk
D
Stansby
Gerard
G
Weimar
Christian
C
D000368:Aged; D055109:Ankle Brachial Index; D017408:Guidelines as Topic; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D014652:Vascular Diseases / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology