We did not record patient symptoms such as chest pain or shortness of breath, but the presence of hs-cTnT elevation and ECG manifestations of myocardial ischemia indicate that acute MI is likely underdiagnosed in patients with acute ischemic stroke, although the findings are insufficient to conclude whether the ischemia has been caused by type 1 or type 2 MI [1]. The gene discussed is TNNT2; the disease is myocardial infarction.