TY - JOUR
T1 - Transient ischemic attack (TIA)
T2 - The initial diagnostic and therapeutic dilemma
AU - Panagos, Peter D.
N1 - Funding Information:
Disclosure: This work was supported by Boehringer Ingelheim Pharmaceuticals, Inc (BIPI) . Writing and editorial assistance was provided by Ann Sherwood, PhD, of Publication CONNEXION (Newtown, PA), which was contracted by BIPI for these services. The author meets criteria for authorship as recommended by the International Committee of Medical Journal Editors (ICMJE), was fully responsible for all content and editorial decisions, and was involved at all stages of manuscript development. The author received no compensation related to the development of the manuscript.
PY - 2012/6
Y1 - 2012/6
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84861883119&partnerID=8YFLogxK
U2 - 10.1016/j.ajem.2011.03.004
DO - 10.1016/j.ajem.2011.03.004
M3 - Review article
C2 - 21570239
AN - SCOPUS:84861883119
SN - 0735-6757
VL - 30
SP - 794
EP - 799
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 5
ER -