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American Journal of Cardiovascular Drugs
Published in: American Journal of Cardiovascular Drugs 1/2007

01-01-2007 | Therapy in Practice

Current Management of Transient Ischemic Attack

Authors: Padmavathy N. Sylaja, Michael D. Hill

Published in: American Journal of Cardiovascular Drugs | Issue 1/2007

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Abstract

Transient ischemic attack (TIA) is a precursor to ischemic stroke. At least half of patients with TIA have a new, small ischemic lesion demonstrable on magnetic resonance imaging using a diffusion weighted sequence. The risk of subsequent major stroke is 10–20% in the next 3 months with much of that risk front-loaded in the first week. Strategies to identify and treat high-risk patients need to be defined. The optimal treatment approach and the timing of interventions, both medical and surgical, remains unknown. In general, aspirin is the first line of treatment to prevent further stroke. Other antiplatelet agents such as clopidogrel alone or in combination with aspirin and the combination aspirin/extended-release dipyridamole may be administered. Endarterectomy or carotid stenting is of great benefit to patients with TIA secondary to stenosis in the extracranial carotid artery.
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Metadata
Title
Current Management of Transient Ischemic Attack
Authors
Padmavathy N. Sylaja
Michael D. Hill
Publication date
01-01-2007
Publisher
Springer International Publishing
Published in
American Journal of Cardiovascular Drugs / Issue 1/2007
Print ISSN: 1175-3277
Electronic ISSN: 1179-187X
DOI
https://doi.org/10.2165/00129784-200707010-00006

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