Transient Ischemic Attacks: Advances in Diagnosis and

Emerg. Med. Clin. North Am. · Nov 2016

Review

Transient Ischemic Attacks: Advances in Diagnosis and Management in the Emergency Department.

The definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients within 48 hours of the TIA and 10% within 90 days. ⋯ Decision support scores have been developed to risk stratify patients, which include clinical and radiological elements. Antiplatelet and anticoagulant therapy, as well as carotid endarterectomy/stenting have been shown to reduce the stroke occurrence after TIA.

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- Andrea Duca and Andy Jagoda.
- Department of Emergency Medicine, Ospedale San Raffaele, via Olgettina 60, 20132 Milan, Italy.
- Emerg. Med. Clin. North Am. 2016 Nov 1; 34 (4): 811-835.
AbstractThe definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients within 48 hours of the TIA and 10% within 90 days. This rate is decreasing, likely due to improved diagnostic and management strategies. Decision support scores have been developed to risk stratify patients, which include clinical and radiological elements. Antiplatelet and anticoagulant therapy, as well as carotid endarterectomy/stenting have been shown to reduce the stroke occurrence after TIA.Copyright © 2016 Elsevier Inc. All rights reserved.

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Transient Ischemic Attacks: Advances in Diagnosis and Management in the Emergency Department.

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