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July 6, 1994

Left Ventricular Mass and StrokeWhat Is The Connection?

Author Affiliations

From the Department of Medicine, Division of Cardiology, The New York Hospital-Cornell Medical Center, New York, NY.

JAMA. 1994;272(1):71-72. doi:10.1001/jama.1994.03520010083038

In everyday life, love and other emotions experienced in the brain are often said to come from the heart. In medicine, it is well recognized that the brain can stimulate cardiac arrhythmias and that the heart can serve as a source of emboli to the brain. However, these events are relatively uncommon, and in practice stroke and the major forms of heart disease are usually thought of as quite distinct from each other and best treated by different specialists. This subdivision of care and a combined preventive and therapeutic attack on the atherosclerotic and thrombotic risk factors of smoking, hypertension, and dyslipidemia have led to sustained decreases in cerebrovascular and coronary disease mortality.1 In this issue of THE JOURNAL, however, the article by Bikkina et al2 from the Framingham Heart Study expands the evidence of linkage between diseases of the heart and brain by demonstrating an association between

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