Exercise-Induced Ischemia and Carotid Atherosclerosis
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To the Editor:
We read with interest the recent article by Nagai et al1 detailing the significant association between exercise-induced myocardial ischemia and carotid artery intimal-medial thickness in asymptomatic participants in the Baltimore Longitudinal Study of Aging. These findings highlight and support previously reported observations from our laboratory on the relation between exercise ECG manifestations of ischemia and carotid artery structure and plaque.2
The relationship of exercise ECG myocardial ischemia to the presence of carotid atherosclerosis …