Abstract
Blood vessels are the huge organ, which connects a heart with general organs. Therefore, coronary artery disease and cerebrovasucular disease share common risk factors and pathlogical mechanisims. In other words, coronary artery and cerebrovasucular disease express end-stage of life-style related disease. We, especially cardiologists. should be aggressive in anti-coagulation therapy in patients with atrial fibrillation. Although many large-scale clinical trials about anti-hypertensive therapy in patients with cerebrovascular disease, doctors of cerebrovascular disease may be not forward enough to decrease their blood pressure. We can select from a menu of some options including drug eluting STENT and off-pump coronary artery bypass for ischemic heart disease patients with cerebrovascular lesions. However, there is much room for discussion whether therapy to coronary artery lesions should be prioritized or therapy to cerebral artery lesions should be prioritized.
Moreover, the most important thing is that cardiologists and doctors of cerebrovascular disease build patient-oriented medical cooperation. Because unrecognized coronary artery disease is prevalent in patients with cerebrovascular disease, selected patients with high cardiovascular risk profiles and symptoms of brain ischemia in the presence of significant cerebrovascular disease should be considered for evaluation for coronary artery disease. for early diagnosis to care patients with coronary or cerebral artery disease.
