Transient ischemic attack (TIA): the initial diagnostic and therapeutic dilemma

被引:11
作者
Panagos, Peter D. [1 ]
机构
[1] Washington Univ, Sch Med, Div Emergency Med, St Louis, MO 63110 USA
关键词
ASSOCIATION/AMERICAN-STROKE-ASSOCIATION; PERIPHERAL VASCULAR-DISEASE; HEALTH-CARE PROFESSIONALS; EMERGENCY-ROOM; MINOR STROKE; CARDIOVASCULAR RADIOLOGY; AMERICAN-ACADEMY; URGENT TREATMENT; EARLY RISK; GUIDELINE;
D O I
10.1016/j.ajem.2011.03.004
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
Many patients with transient ischemic attacks (TIA) are at high risk of stroke within the first few days of onset of symptoms. Emergency physicians and primary care physicians need to assess these patients quickly and initiate appropriate secondary stroke prevention strategies. Recent refinements in diagnostic imaging have produced valuable insight into risk stratification of patients with TIA. Clinical data regarding urgent initiation of antiplatelet therapy specifically in this patient population with non-cardioembolic TIA are limited but promising. This review outlines the diagnostic tools available for rapid assessment of patients presenting with symptoms of TIA and discusses clinical trials that apply to these vulnerable patients. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:794 / 799
页数:6
相关论文
共 32 条
[1]
Guidelines for the early management of adults with ischemic stroke - A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups [J].
Adams, Harold P., Jr. ;
del Zoppo, Gregory ;
Alberts, Mark J. ;
Bhatt, Deepak L. ;
Brass, Lawrence ;
Furlan, Anthony ;
Grubb, Robert L. ;
Higashida, Randall T. ;
Jauch, Edward C. ;
Kidwell, Chelsea ;
Lyden, Patrick D. ;
Morgenstern, Lewis B. ;
Qureshi, Adnan I. ;
Rosenwasser, Robert H. ;
Scott, Phillip A. ;
Wijdicks, Eelco F. M. .
STROKE, 2007, 38 (05) :1655-1711
[2]
Transient ischemic attack with infarction: A unique syndrome? [J].
Ay, H ;
Koroshetz, WJ ;
Benner, T ;
Vangel, MG ;
Wu, O ;
Schwamm, LH ;
Sorensen, AG .
ANNALS OF NEUROLOGY, 2005, 57 (05) :679-686
[3]
Clinical- and Imaging-Based Prediction of Stroke Risk After Transient Ischemic Attack The CIP Model [J].
Ay, Hakan ;
Arsava, E. Murat ;
Johnston, S. Claiborne ;
Vangel, Mark ;
Schwamm, Lee H. ;
Furie, Karen L. ;
Koroshetz, Walter J. ;
Sorensen, A. Gregory .
STROKE, 2009, 40 (01) :181-186
[4]
Agreement Regarding Diagnosis of Transient Ischemic Attack Fairly Low Among Stroke-Trained Neurologists [J].
Castle, James ;
Mlynash, Michael ;
Lee, Karming ;
Caulfield, Anna Finley ;
Wolford, Connie ;
Kemp, Stephanie ;
Hamilton, Scott ;
Albers, Gregory W. ;
Olivot, Jean-Marc .
STROKE, 2010, 41 (07) :1367-1370
[5]
Population-based study of risk and predictors of stroke in the first few hours after a TIA [J].
Chandratheva, A. ;
Mehta, Z. ;
Geraghty, O. C. ;
Marquardt, L. ;
Rothwell, P. M. .
NEUROLOGY, 2009, 72 (22) :1941-1947
[6]
Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services [J].
Coull, AJ ;
Lovett, JK ;
Rothwell, PM .
BMJ-BRITISH MEDICAL JOURNAL, 2004, 328 (7435) :326-328
[7]
Transient ischemic attacks are more than "ministrokes" [J].
Daffertshofer, M ;
Mielke, O ;
Pullwitt, A ;
Felsenstein, M ;
Hennerici, M .
STROKE, 2004, 35 (11) :2453-2458
[8]
Early treatment with aspirin plus extended-release dipyridamole for transient ischaemic attack or ischaemic stroke within 24 h of symptom onset (EARLY trial): a randomised, open-label, blinded-endpoint trial [J].
Dengler, Reinhard ;
Diener, Hans-Christoph ;
Schwartz, Andreas ;
Grand, Martin ;
Schumacher, Helmut ;
Machnig, Thomas ;
Eschenfelder, Christoph Cyrill ;
Leonard, Joachim ;
Weissenborn, Karin ;
Kastrup, Andreas ;
Haberl, Roman .
LANCET NEUROLOGY, 2010, 9 (02) :159-166
[9]
Definition and Evaluation of Transient Ischemic Attack A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. [J].
Easton, J. Donald ;
Saver, Jeffrey L. ;
Albers, Gregory W. ;
Alberts, Mark J. ;
Chaturvedi, Seemant ;
Feldmann, Edward ;
Hatsukami, Thomas S. ;
Higashida, Randall T. ;
Johnston, S. Claiborne ;
Kidwell, Chelsea S. ;
Lutsep, Helmi L. ;
Miller, Elaine ;
Sacco, Ralph L. .
STROKE, 2009, 40 (06) :2276-2293
[10]
Early risk of stroke after a transient ischemic attack in patients with internal carotid artery disease [J].
Eliasziw, M ;
Kennedy, J ;
Hill, MD ;
Buchan, AM ;
Barnett, HJM .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2004, 170 (07) :1105-1109