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[Management of transient ischemic attack].

作者信息

Lamme Jessica, Sauvin Margot, Sztajzel Roman

机构信息

Service de médecine interne, Hôpital de La Tour, 1217 Meyrin/Genève.

Service de neurologie, Hôpital de La Tour, 1217 Meyrin/Genève.

出版信息

Rev Med Suisse. 2022 Sep 7;18(794):1671-1676. doi: 10.53738/REVMED.2022.18.794.1671.

DOI:10.53738/REVMED.2022.18.794.1671
PMID:36082387
Abstract

This article reviews the management of transient ischemic attack (TIA) in 2022. There is an important risk of developing a stroke within the first weeks after a TIA and this risk may be significantly reduced with appropriate management. Clinical scores coupled with imaging allow risk stratification. Brain imaging (CT scan and/or MRI) is an essential part of the diagnostic approach and should be performed within 24h. Etiological investigations including vascular and cardiac workup should be scheduled. Therapeutic options include antiplatelet therapy, anticoagulant therapy in case of atrial fibrillation, recanalization in case of symptomatic carotid stenosis, and for all patients a strategy to reduce cardiovascular risk factors.

摘要

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