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Home > Handouts Index > Trasient Ischaemic Attack

Trasient Ischaemic Attack

Introduction

A stroke is a medical emergency.EMS should be notified and 911 should be called when a stroke is suspected. It is impossible to know whether the symptoms will go away because one cannot forecast the future. Should the symptoms continue and a stroke scenario arises, there is a limited amount of time to act and maybe administer TPA (a medication that breaks blood clots) to replenish blood flow. To the brain and reverse the neurologic deficits. There may be as little as three hours from the start of symptoms to give the medication, depending on the hospital and its resources. During that period, the patient must be assessed, blood must be obtained, and a CT scan of the head must be completed to ensure that a hemorrhagic stroke is not the cause, and neurologists need to be contacted.

Urgent medical attention is still required even if EMS is not called in and the patient's symptoms go away to the point where friends, relatives, or other caregivers believe a transient internal attack (TIA) has occurred. It could make sense to get in touch with the primary care physician to assist in organizing the assessment.

TIAs are indicators of a possible future stroke and should not be disregarded. Within three months, 10% of patients who have TIAs will experience a stroke. The purpose of accessing medical care is to help minimize risk factors to help decrease that 10% risk. Published studies in 2007 suggest that if blood pressure is tightly controlled, cholesterol levels are reduced with medication, and smoking cessation is begun, the risk of future stroke can be reduced to 2%.

Prevention

Minimizing risk factors is a life long endeavor. While we cannot pick our family members and control genetic disposition for heart disease and stroke, we can eliminate some risks like smoking and minimize others like poorly controlled diabetes , high blood pressure and high cholesterol. This prescription takes hard work and effort, but can help prevent narrowing of the arteries and the potential for TIA and stroke.