Managing Patients With Transient Ischemic Attack

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Presentation transcript:

Managing Patients With Transient Ischemic Attack Jonathan A. Edlow, MD Annals of Emergency Medicine Volume 71, Issue 3, Pages 409-415 (March 2018) DOI: 10.1016/j.annemergmed.2017.06.026 Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 1 Diagnostic algorithm for patients with possible TIA. Patients discharged after having a TIA should be receiving an antiplatelet agent (unless clear contraindication), a statin, and antihypertensive medication if indicated. They should be given standardized instructions that address smoking cessation, weight loss, and the importance of close follow-up with their neurologist or primary care physician. If possible, arrange for application of long-term ambulatory cardiac monitoring. The timing of the follow-up will be determined in part by how much of the diagnostic evaluation was conducted in the ED or ED-based observation unit. TIA, Transient ischemic attack. Annals of Emergency Medicine 2018 71, 409-415DOI: (10.1016/j.annemergmed.2017.06.026) Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 2 Differential diagnosis of transient ischemic attack. Annals of Emergency Medicine 2018 71, 409-415DOI: (10.1016/j.annemergmed.2017.06.026) Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 3 Findings that should prompt hospitalization. Annals of Emergency Medicine 2018 71, 409-415DOI: (10.1016/j.annemergmed.2017.06.026) Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 4 Transient ischemic attack patients who may benefit from echocardiography. LV, Left ventricular. Annals of Emergency Medicine 2018 71, 409-415DOI: (10.1016/j.annemergmed.2017.06.026) Copyright © 2017 American College of Emergency Physicians Terms and Conditions