Elaine S Leung
M Anne Hamilton-Bruce
Simon A Koblar
Transient ischaemic attacks (TIAs) can be challenging to
diagnose, but early assessment and effective management
can reduce the subsequent risk of stroke.
This article reviews the assessment and management of
TIAs for general practitioners.
Transient ischaemic attacks can be a trap for the
unwary, with difficulty in making a diagnosis and varied
assessment and management pathways. There is a
significant risk of subsequent stroke. Early assessment and
initiation of treatment, which can take place in the general
practice setting, could lower the risk of stroke. Liaising
with regional stroke care centres is required to establish an
optimal pathway of care.
Transient ischaemic attacks (TIAs) are a warning sign of stroke, with 20% of patients having a subsequent stroke within 90 days.1 Stroke is a leading cause of disease in Australia, with approximately 50 000 strokes occurring per year.2 The subsequent consequences can be devastating, with 20% of patients dying within 1 month of their first stroke3 and of survivors, one-third remaining disabled.4
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