Ashfaq Shuaib, Khurshid Khan, Naeem Dean.
Can we afford to neglect patients with transient ischemic attack?
Pak J Neurological Sci Sep 2007;2(3):165-70.
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Approximately 30-40% of patients with ischemic stroke have a preceding transient ischemic attack (TIA) or a minor stroke. Most of these patients have underlying vascular risk factors which until the index event were probably unidentified or inappropriately treated. Unfortunately, in most health care systems across the world there are long delays before a TIA patient is seen by a specialist. During this time period, many `preventable` strokes may occur with devastating effects on the victims and their care givers. This evidence-based review discusses the prognosis, evaluation and treatment of patients presenting with a TIA or minor stroke. We present data from recently published studies indicating high risk of early stroke after a TIA or minor stroke. We also show emerging evidence that urgent evaluation and early treatment results in dramatic reduction of early stroke risk in a vast majority of such patients. This is a review article.
Category: Neurology
Keywords: Transient Ischemic Attack. Cerebrovascular Accidents. Stroke.
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