What is a Transient Ischemic Attack? - Oren Zarif - Transient Ischemic Attack
A transient ischemic attack is a sudden onset of heart problems with short-lived symptoms. Unlike a stroke, which can result in permanent brain damage, a transient ischemic attack can be quickly cured with proper treatment. Although these attacks do not usually cause long-term disability, they can be warning signs of an underlying heart problem or stroke. It is important to seek medical advice if you suspect that you have had a transient ischemic attack.
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TIAs are usually caused by narrowing of the major arteries that supply blood to the brain. The carotid arteries supply oxygenated blood to the brain's cells. But these arteries can narrow or completely block when they become clogged with plaque. In addition, blood clots can form, traveling along the bloodstream to smaller arteries and blocking blood flow to the part of the brain fed by that artery.
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Although TIAs rarely result in permanent brain damage, they are warning signs of a looming stroke. If you or a loved one suspects that you or a family member has had a TIA, see a medical professional immediately. Your doctor will probably ask you to wear a Holter monitor for a few hours, and will do further tests to rule out other conditions. In some cases, you may require emergency surgery.
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Transient ischemic attack (TIA) is a medical emergency that is characterized by sudden onset, monocular blindness, and speech disturbance. Because the symptoms often last for a few hours or even days, it is vital to determine if it is a true TIA. Early diagnosis and treatment can greatly reduce the risk of a future stroke. It is important to identify the trigger and distinguish it from other conditions because TIAs can mimic other medical problems.
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Patients with suspected TIAs should visit a doctor immediately after experiencing the symptoms. Evaluation will include a thorough medical history, physical exam, and diagnostic tests. Doctors will assess the patient's vision, muscle strength, and ability to speak and think. MRIs and brain scans can help identify possible causes. Blood tests can also identify risk factors for stroke and TIA. So, if the symptoms are present, the patient should be evaluated immediately in the emergency department.
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Treatment of transient ischemic attack varies depending on the specific underlying cause. The most common treatment is anti-coagulation. But there are other options that can help patients recover faster. The American College of Chest Physicians has published an evidence-based guideline on anti-thrombotic therapy and thrombosis. For more information about the disease, click the links below. So, what should your patient expect?
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A transient ischemic attack (TIA) is a temporary cut in the blood supply to the brain. A blood clot lodges in the artery. The blood clot tends to break up rapidly, restoring oxygen to the affected area of the brain. However, the risk of stroke is high in the first few weeks after a TIA. So, it is important to see a doctor as soon as possible.
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A TIA can be a warning stroke if it is not treated promptly. Symptoms of a transient ischemic attack are similar to those of a stroke, but last only for a few minutes. The person will recover fully. Treatment may include lifestyle changes or drugs. However, if not treated properly, the condition may lead to another major stroke. And there is also the risk of having a stroke after a transient ischemic attack.
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Patients with TIA should be evaluated for signs of ischemia and a stroke. Because they have similar symptoms, doctors will also perform tests to rule out a carotid stenosis and cardiac sources of emboli. They will also conduct a complete blood count and screen for stroke risk factors. As the symptoms of a TIA are usually temporary, it is important to seek medical attention as soon as possible.
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Treatment options for a transient ischemic attack are varied and aim to minimize the short and long-term risk of another stroke. In severe cases, a surgeon may perform a carotid endarterectomy, which involves cutting through the narrowed part of the carotid artery and removing the plaque. This procedure is usually performed under general anesthesia, takes one to two hours, and requires only a small amount of time.
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A comprehensive history of the TIA should include the onset and resolution of the symptoms. Because TIA mimics can be nonspecific, it is important to ask the patient's family members and medical history providers about symptoms the patient may not have recognized. The history should also elicit any risk factors for cardioembolic or atrial fibrillation. If the TIA is caused by an underlying condition, oral anticoagulation may be indicated.
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