Fallon C, Noone I, Ryan J, O'Shea D, O'Laoide R, Crowe M
Dept of Geriatric Medicine, St. Vincent's University Hospital, Elm Park, Dublin 4.
Ir J Med Sci. 2006 Jul-Sep;175(3):24-7. doi: 10.1007/BF03169168.
As the risk of early stroke following transient ischaemic attack (TIA) is increasingly recognised, the management of patients presenting with symptoms suggestive of TIA presents a clinical challenge.
Analysis of prospectively collected data on patients referred to a TIA clinic in St. Vincent's University Hospital, between January 2003 and July 2004.
One-hundred-and-seventeen (117) patients (mean age 75.5 years) were assessed. The majority (79%) were referred from Accident and Emergency and 61% were seen within one week of referral. Seventy-two patients (62%) had a final diagnosis of cerebrovascular disease (56 TIA, 16 completed strokes), of whom five (7%) and four (5.5%) had severe (> 70%) and moderate (> 50%) symptomatic carotid artery stenosis, respectively, whilst seven patients (10%) had newly diagnosed atrial fibrillation, five of whom were anticoagulated. Non-cerebrovascular diagnoses were made in twenty-seven patients (24%).
A TIA clinic, in co-ordination with Accident and Emergency Services, provides a safe and efficient alternative to hospital admission for patients with TIA symptoms and a low early stroke risk.
随着短暂性脑缺血发作（TIA）后早期卒中风险日益受到重视，对出现TIA症状患者的管理构成了一项临床挑战。
对2003年1月至2004年7月转诊至圣文森特大学医院TIA门诊的患者的前瞻性收集数据进行分析。
共评估了117例患者（平均年龄75.5岁）。大多数患者（79%）由急诊转诊而来，61%的患者在转诊后一周内就诊。72例患者（62%）最终诊断为脑血管疾病（56例TIA，16例为完全性卒中），其中分别有5例（7%）和4例（5.5%）存在重度（>70%）和中度（>50%）有症状的颈动脉狭窄，7例患者（10%）新诊断为房颤，其中5例接受抗凝治疗。27例患者（24%）诊断为非脑血管疾病。
TIA门诊与急诊服务部门协作，为有TIA症状且早期卒中风险较低的患者提供了一种安全有效的替代住院治疗的方案。
