Transient ischemic attack medical therapy
|
Transient ischemic attack Microchapters |
|
Differentiating Transient Ischemic Attack from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Transient ischemic attack medical therapy On the Web |
|
American Roentgen Ray Society Images of Transient ischemic attack medical therapy |
|
Risk calculators and risk factors for Transient ischemic attack medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Medical Therapy
The approach to medical management of patients with transient ischemic attack may involve the following: a) Early assessment and emergency management c) Long term management and follow up
Early assessment
- Rapid transport to the hospital
- History and examination
- IV access
- Fingerstick glucose to rule out hypoglycemia
- EKG testing to rule out ongoing ischemia
- Neuroimaging to rule out infarction
Risk assessment and management plan
After initial evaluation of patient, the decision to further manage the patient in the emergency department observation unit, hospital admission or outpatient follow up depends on no of factors which may include
- ABCD2 scoring(AHA guidelines)
- Assessment by emergency physician
- Opinion of neurologist
- Risk of future stroke or TIA
- Patient preference
- Local resources
Guidelines for the hospitalization of patients with TIA
AHA guidelines
NSA guidelines
24-48 hours
<1 week