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Correspondence
Next frontier is inclusion of high-grade carotid artery stenosis in the CHA2DS2 Vasc score
  1. Oscar Jolobe
  1. Flat 6 Souchay Court, 1 Clothorn Road, Manchester, UK
  1. Correspondence to Dr Oscar Jolobe, Flat 6 Souchay Court, 1 Clothorn Road, Manchester M23 6BR, UK; oscarjolobe{at}yahoo.co.uk

https://doi.org/10.1136/heartjnl-2021-318960

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    To the Editor A corollary to the recommendation for anticoagulant persistence1 is a recognition that the time is long overdue for inclusion of evaluation of the extracranial carotid artery for evidence of high-grade (ie >50% occlusion) carotid artery stenosis (CAS). The following is the rationale for the latter recommendation:

    Among patients aged >70, high-grade CAS has a prevalence of 12% among men and 11% among women.2

    A systematic …

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    Footnotes

    • Correction notice Since Online First publication, the author's affiliation has been updated.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Commissioned; internally peer reviewed.

    • Author note Identification of the coexistence of high-grade carotid artery stenosis and atrial fibrillation generates an opportunity to implement measures that might mitigate the risk of subsequent occurrence of disabling stroke.

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