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Cardiac Outcomes After Ischemic Stroke or Transient Ischemic Attack
Author(s) -
Lawrence H. Young,
Catherine M. Viscoli,
Jeptha P. Curtis,
Silvio E. Inzucchi,
Gregory G. Schwartz,
Anne M. Lovejoy,
Karen L. Furie,
Mark Gorman,
Robin Conwit,
J. Dawn Abbott,
Daniel Jacoby,
Daniel M. Kolansky,
Steven Pfau,
Frederick S. Ling,
Walter N. Kernan
Publication year - 2017
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.116.024863
Subject(s) - medicine , cardiology , stroke (engine) , ischemic stroke , transient (computer programming) , ischemia , computer science , operating system , mechanical engineering , engineering
Insulin resistance is highly prevalent among patients with atherosclerosis and is associated with an increased risk for myocardial infarction (MI) and stroke. The IRIS trial (Insulin Resistance Intervention after Stroke) demonstrated that pioglitazone decreased the composite risk for fatal or nonfatal stroke and MI in patients with insulin resistance without diabetes mellitus, after a recent ischemic stroke or transient ischemic attack. The type and severity of cardiac events in this population and the impact of pioglitazone on these events have not been described.

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