RT Journal Article
SR Electronic
T1 The patient with transient cerebral ischemia: a golden opportunity for stroke prevention
JF Canadian Medical Association Journal
JO CMAJ
FD Canadian Medical Association
SP 1134
OP 1137
DO 10.1503/cmaj.1021148
VO 170
IS 7
A1 Dean C.C. Johnston
A1 Michael D. Hill
YR 2004
UL http://www.cmaj.ca/content/170/7/1134.abstract
AB TRANSIENT ISCHEMIC ATTACK (TIA) provides a golden opportunity for stroke prevention. TIA should be treated as a medical emergency with prompt investigations to determine the mechanism of ischemia and subsequent preventive therapy. The risk of stroke after TIA is estimated to be 10%–20% in the first 90 days. The risk is time-dependent with 50% of the risk accruing in the first 48 hours. In this review, we describe the diagnosis and management of TIA, introduce new concepts in TIA and suggest that all patients with significant TIA should undergo rapid investigation and management to prevent stroke.