Background. Acute coronary syndrome (ACS) can complicate acute ischemic stroke, causing significant morbidity andmortality. To\ndate, literatures that describe poststroke acute coronary syndrome and itsmorbidity andmortality burden are lacking. Methods.This\nis a single center, retrospective study where clinical characteristics, cardiac evaluation, and management of patients with suspected\npoststroke ACS were compared and analyzed for their association with inpatient mortality and 1-year all-cause mortality. Results.\nOf the 82 patients, 32% had chest pain and 88% had ischemic ECG changes; mean peak troponin level was 18, and mean ejection\nfraction was 40%. The medical management group had older individuals (73 versus 67 years,
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