Transient ischaemic attack (TIA) if untreated carries a high risk of early stroke and is associated with poorer long-term survival. There have been recent advances in the understanding of TIA, its investigations, management and organisation of services for patient care. Clinically, patients are diagnosed TIA if they have transient sudden-onset focal neurological symptoms which usually completely and rapidly resolve by presentation. Patients with residual symptoms should be evaluated as potentially having stroke, if they present within 4.5h of onset, should be urgently evaluated for their potential eligibility for thrombolysis. TIA patients should receive rapid attention with essential investigations, including brain imaging, electrocardiograph and carotid ultrasound. Immediate administration of an antiplatelet agent is recommended after brain imaging, with subsequent attention to preventing or treating other mechanistic factors. There is emerging evidence that TIA patients can be managed safely in the outpatient setting after initial rapid management in emergency departments as part of a structured clinical pathway supervised by stroke specialists. Clinical systems of management may require approaches individualised to the healthcare setting, while adopting the central aspects of rapid management.
机构:
Univ Paris 07, Inserm U698, Unite Rech Clin Atherothrombose, Hop Bichat Claude Bernard, F-75018 Paris, FranceUniv Paris 07, Inserm U698, Unite Rech Clin Atherothrombose, Hop Bichat Claude Bernard, F-75018 Paris, France
Lapergue, Bertrand
SANG THROMBOSE VAISSEAUX,
2009,
21
(9-10):
: 449
-
452
机构:
Univ Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, PortugalUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Fonseca, Ana Catarina
Merwick, Aine
论文数: 0引用数: 0
h-index: 0
机构:
Cork Univ Hosp, Dept Neurol, Cork, Ireland
Univ Coll Cork, Cork, IrelandUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Merwick, Aine
Dennis, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Univ Edinburgh, Ctr Clin Brain Sci, Edinburgh, Midlothian, ScotlandUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Dennis, Martin
Ferrari, Julia
论文数: 0引用数: 0
h-index: 0
机构:
St Johns God Hosp, Dept Neurol, Vienna, AustriaUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Ferrari, Julia
Ferro, Jose M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, PortugalUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Ferro, Jose M.
Kelly, Peter
论文数: 0引用数: 0
h-index: 0
机构:
Mater Univ Hosp, Stroke Serv, Dublin, Ireland
Univ Coll Dublin, HRB Stroke Clin Trials Network Ireland, Dublin, IrelandUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Kelly, Peter
Lal, Avtar
论文数: 0引用数: 0
h-index: 0
机构:
European Stroke Org, Basel, SwitzerlandUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Lal, Avtar
Ois, Angel
论文数: 0引用数: 0
h-index: 0
机构:
Univ Autonoma Barcelona, Hosp Mar, Dept Neurol, IMIM, Barcelona, SpainUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal
Ois, Angel
Olivot, Jean Marc
论文数: 0引用数: 0
h-index: 0
机构:
Clin Invest Ctr, Acute Stroke Unit, Toulouse, France
Univ Toulouse, Med Ctr, Toulouse Neuro Imaging Ctr, Toulouse, FranceUniv Lisbon, Fac Med, Hosp Santa Maria CHLN, Dept Neurosci & Mental Hlth Neurol, Lisbon, Portugal