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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}

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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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  • 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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