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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1999-1-29
|
| pubmed:abstractText |
Stroke is an important cause of morbidity and mortality. Often the first presentation of cerebrovascular disease is a TIA which will present to the A&E department. Patients who have had a TIA are at increased risk of stroke, myocardial infarction, and vascular death. The risk of stroke after a TIA is greatest in the first year (approximately 11.6%) with a risk of approximately 5.9% per year over the first five years. As the risk is highest in the first months following a TIA it is important that the patients are diagnosed accurately, investigated promptly, and referred appropriately for treatment in order that valuable time is not lost. For this reason A&E physicians have a valuable role in the initial assessment and management of the patient. It has been advocated that patients should be seen by a neurologist or physician with an interest in cerebrovascular disease within days of their symptoms and be prepared for surgery within two weeks after a TIA. While it is usually not possible to achieve this ideal, improved cooperation between A&E physicians and these neurologists, general physicians, and geriatricians should lead to the implementation of speedy efficient referral procedures which can only improve patient care. When you next see a patient with a TIA in the A&E department remember what they have to lose. Three questions relating to this article are: (1) How are TIAs subdivided and what clinical features allow this differentation? (2) What are the initial investigations that should be performed in A&E? (3) When are the risks of completed stroke greatest after a TIA? Enumerate these risks. How effective is aspirin at reducting this risks?
|
| pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-1564473,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-2349586,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-2391549,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-6464066,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-7605435,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-7673947,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-7808491,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-8251776,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-8505629,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-8505652,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-8545284,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-8866075,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9825274-8981292
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
1351-0622
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
15
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
374-9
|
| pubmed:dateRevised |
2009-11-18
|
| pubmed:meshHeading |
pubmed-meshheading:9825274-Anti-Inflammatory Agents, Non-Steroidal,
pubmed-meshheading:9825274-Aspirin,
pubmed-meshheading:9825274-Diagnosis, Differential,
pubmed-meshheading:9825274-Emergency Treatment,
pubmed-meshheading:9825274-Humans,
pubmed-meshheading:9825274-Ischemic Attack, Transient,
pubmed-meshheading:9825274-Neurologic Examination
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Diagnosis and management of transient ischaemic attacks in accident and emergency.
|
| pubmed:affiliation |
Northern General Hospital, Sheffield.
|
| pubmed:publicationType |
Journal Article
|