Premonitory stroke symptoms are not always found; fewer than 20% of stroke patients have a prior TIA. Focal premonitory symptoms, when present, usually predate infarction rather than haemorrhage. When they occur, they may be so nonspecific that they are not recognized as signs of an impending stroke. Within 90 days after a TIA, the risk of stroke has been reported to be as high as 10% to 20%, and nearly half of these patients will have their stroke in the first 2 days after the TIA. Patients on established coronary artery disease who were on atorvastatin therapy 10 mg for more than 1 year, who developed an ischemic stroke evidenced by CT scan or MRI within 5 years of occurrence of the first coronary event were included. Out of the 50 patients studied 16 were known diabetes patients on treatment accounting to 32% of cases. In our study 38 (74%) CAD patients who developed CVA had positive  history of ischemic events in family and 28 (56%) of the controls that were CAD patients and did not develop CVA had positive family history.