A Systematic Review on Coronary Heart Disease: A Transient Ischemic Stroke

Year : 2025 | Volume : 14 | Issue : 03 | Page :
    By

    Manish Sharma,

  • Ashish Kushwaha,

  • Arun Maurya,

  • Lalit Bisht,

  1. Student, Department of Pharmacy, JBIT College of Pharmacy, Shankarpur, Dehradun, Uttarakhand, India
  2. Student, Department of Pharmacy, JBIT College of Pharmacy, Shankarpur, Dehradun, Uttarakhand, India
  3. Student, Department of Pharmacy, JBIT College of Pharmacy, Shankarpur, Dehradun, Uttarakhand, India
  4. Student, Department of Pharmacy, JBIT College of Pharmacy, Shankarpur, Dehradun, Uttarakhand, India

Abstract

Coronary Heart Disease (CHD) and Transient Ischemic Attack (TIA) are significant cardiovascular and cerebrovascular disorders that often share similar risk factors and underlying pathophysiological processes. CHD involves the narrowing or obstruction of the coronary arteries due to atherosclerosis, resulting in diminished blood flow to the heart. A transient ischemic attack (TIA), often called a “mini stroke,” occurs when blood flow to the brain is briefly disrupted, usually due to a clot or embolus. Although TIAs do not result in permanent neurological damage, they serve as significant warning signs of a higher likelihood of future strokes, particularly in individuals with coronary heart disease (CHD). Shared risk factors for both conditions include high blood pressure, diabetes, smoking, obesity, and elevated cholesterol levels. Management strategies for CHD and TIA involve addressing these risk factors through medications like statins and antiplatelet agents, lifestyle changes, and, when necessary, surgical procedures. Early diagnosis, lifestyle adjustments, and proactive treatment are crucial for preventing disease progression and minimizing the risk of serious outcomes such as heart attacks or major strokes. This project focuses on examining the connection between CHD and TIA, their symptoms, diagnostic methods, and approaches to prevention and therapy. Coronary heart disease (CHD) continues to be the leading cause of mortality in Western nations. Identifying the major risk factors associated with the condition is crucial for creating effective strategies for its prevention and management. While nearly 300 variables have been statistically linked to CHD, research indicates that most coronary events can be attributed to a few main factors: high blood pressure, abnormal lipid levels, smoking, and diabetes. Among these, dyslipidemia—particularly elevated low-density lipoprotein (LDL) cholesterol—emerges as a central risk factor. Evidence from laboratory, clinical, and population-based studies suggests that without dyslipidemia, other risk factors have a much smaller impact on overall CHD risk. For instance, countries like China and Japan, which have generally low LDL cholesterol levels, tend to have low rates of CHD, even when smoking and high blood pressure are common.

Keywords: Ischemic Stroke; Atherosclerosis; Coronary Heart Disease; neurological; Management.

[This article belongs to Research and Reviews : Journal of Surgery ]

How to cite this article:
Manish Sharma, Ashish Kushwaha, Arun Maurya, Lalit Bisht. A Systematic Review on Coronary Heart Disease: A Transient Ischemic Stroke. Research and Reviews : Journal of Surgery. 2025; 14(03):-.
How to cite this URL:
Manish Sharma, Ashish Kushwaha, Arun Maurya, Lalit Bisht. A Systematic Review on Coronary Heart Disease: A Transient Ischemic Stroke. Research and Reviews : Journal of Surgery. 2025; 14(03):-. Available from: https://journals.stmjournals.com/rrjos/article=2025/view=233097


References

  1. Patel D, et al. Prevalence and prognostic value of perfusion defects detected by stress technetium-99m sestamibi myocardial perfusion single-photon emission computed tomography in asymptomatic patients with diabetes mellitus and no known coronary artery disease. Am J Cardiol. 2002.
  2. Shelley S, Indirani M, Sathyamurthy I, Subramanian K, Priti N, Harshad K, Padma D. Correlation of myocardial perfusion SPECT with invasive and computed tomography coronary angiogram. Indian Heart J. 2012 Jan–Feb;64(1):43–49. doi:10.1016/S0019-4832(12)60010-8. Epub 2012 Mar 26.
  3. Kothari RU, Brott T, Broderick JP, Hamilton CA. Emergency physicians: accuracy in the diagnosis of stroke. Stroke. 1995;26:2238–2241.
  4. Ferro JM, Pinto AN, Falcão I, et al. Diagnosis of stroke by the nonneurologist: a validation study. Stroke. 1998;29:1106–1109.
  5. Kidwell CS, Shephard T, Tonn S, et al. Establishment of primary stroke centers: a survey of physician attitudes and hospital resources. Neurology. 2003;60:1452–1456.
  6. Alberts MJ, Hademenos G, Latchaw RE, et al. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA. 2000;283:3102–3109.
  7. Rothwell PM, Giles M, Chandratheva A, et al. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet. 2007;370(9596):1432–1442. doi:10.1016/S0140-6736(07)61448-2
  8. Broughton ST. The influence of left atrial enlargement on the relationship between atrial fibrillation and stroke. J Stroke Cerebrovasc Dis. 2016.
  9. Kent DM. Device closure of patent foramen ovale after stroke: pooled analysis of completed randomized trial. J Am Coll Cardiol. 2016.
  10. Rothwell PM, Algra A, Chen Z, Diener HC, Norrving B, Mehta Z. Effects of aspirin on risk and severity of early recurrent stroke after transient ischaemic attack and ischaemic stroke: time-course analysis of randomised trials. Lancet. 2016;388(10042):365–375. doi:10.1016/S0140-6736(16)30468-8
  11. Adams HP Jr, Bendixen BH, Kappelle LJ, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Stroke. 1993;24:35–41.
  12. Goldstein LB, Jones MR, Matchar DB, et al. Improving the reliability of stroke subgroup classification using the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria. Stroke. 2001;32:1091–1098.
  13. Landau WM, Nassief A. Editorial comment—time to burn the TOAST. Stroke. 2005;36:2541–2542.
  14. Amarenco P, Bogousslavsky J, Caplan LR, Donnan GA, Wolf ME, Hennerici MG. The ASCOD phenotyping of ischemic stroke (updated ASCO phenotyping). Cerebrovasc Dis. 2013;36:1–5.
  15. Sirimarco G, Lavallée PC, Labreuche J, et al. Overlap of diseases underlying ischemic stroke: the ASCOD phenotyping. 2013;44:2101–2106.
  16. Amarenco P, Lavallée PC, Labreuche J, et al; TIAregistry.org Investigators. One-year risk of stroke after transient ischemic attack or minor ischemic stroke. N Engl J Med. 2016; 374:1533–1542. doi:10.1056/NEJMoa1412981
  17. Amarenco P, Lavallée PC, Monteiro Tavares L, et al; TIAregistry.org Investigators. Five-year risk of stroke after TIA or minor ischemic stroke. N Engl J Med. 2018;378(23):2182–2190. doi:10.1056/NEJMoa1802712
  18. Clark TG, Murphy MF, Rothwell PM. Long-term risks of stroke, myocardial infarction, and vascular death in “low risk” patients with a non-recent transient ischaemic attack. J Neurol Neurosurg Psychiatry. 2003; 74:1661–1665.
  19. Luengo-Fernandez R, Paul NL, Gray AM, et al; Oxford Vascular Study. Population-based study of disability and institutionalization after transient ischemic attack and stroke: 10-year results of the Oxford Vascular Study. Stroke. 2013; 44:2854–2861.
  20. Luengo-Fernandez R, Gray AM, Bull L, Welch S, Cuthbertson F, Rothwell PM; Oxford Vascular Study. Quality of life after TIA and stroke: ten-year results of the Oxford Vascular Study. Neurology. 2013; 81:1588–1595.

Regular Issue Subscription Review Article
Volume 14
Issue 03
Received 16/05/2025
Accepted 08/09/2025
Published 26/11/2025
Publication Time 194 Days


Login


My IP

PlumX Metrics