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Search for transient ischemic attack (TIA) in all Journal Watch editions
Physician-authored summaries on the latest research on transient ischemic attack (TIA), editorials on transient ischemic attack (TIA), and perspectives on transient ischemic attack (TIA) - drawn from the top medical journals.
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You searched for: transient ischemic attack (TIA)
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Is It Safe to Send TIA Patients Home?
Probably, if you choose carefully.- Reviewing:
- Montassier E et al., J Emerg Med 2013 May; 44:970.
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Long-Term Mortality in Young Patients with Stroke or TIA
- April 2, 2013
- Seemant Chaturvedi, MD
- Neurology
Mortality was higher in patients aged 18 to 50 than in their population-based peers in a prospective study.- Reviewing:
- Rutten-Jacobs LCA et al., JAMA 2013 Mar 20; 309:1136.
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Even Minor Strokes Can Cause Long-Term Disability
- October 2, 2012
- Hooman Kamel, MD
- Neurology
In a prospective study, 15% of patients had not recovered full functioning 3 months after transient ischemic attack or minor ischemic stroke.- Reviewing:
- Coutts SB et al., Stroke 2012 Sep 13;:
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Ticagrelor vs. Clopidogrel in PLATO Patients with Prior Stroke or Transient Ischemic Attack
- May 30, 2012
- Harlan M. Krumholz, MD, SM
- Cardiology
In a small substudy, ticagrelor was as safe as clopidogrel in this high-risk group, but questions remain.- Reviewing:
- James SK et al., Circulation 2012 May 9;:
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Apixaban vs. Aspirin for Secondary Stroke Prevention in Atrial Fibrillation
- March 6, 2012
- Hooman Kamel, MD
- Neurology
This new oral anticoagulant drug significantly reduced the rate of thromboembolism without increasing the rate of intracranial hemorrhage.- Reviewing:
- Diener H-C et al., Lancet Neurol 2012 Mar; 11:225.
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Neurologists Sometimes Disagree with Emergency Physicians' Diagnoses of TIA
- February 3, 2012
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
In a retrospective single-center study, features associated with discordant diagnoses were headache, involuntary movement, and dizziness.- Reviewing:
- Schrock JW et al., Ann Emerg Med 2012 Jan; 59:19.
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TIA Clinics Might Be More Cost-Effective Than Hospitalization
- January 13, 2012
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
However, developing such clinics for patients with transient ischemic attacks might not be feasible.- Reviewing:
- Joshi JK et al., Neurology 2011 Dec 13; 77:2082.
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Statins After Stroke or TIA: More Evidence of Benefits
- November 22, 2011
- Hooman Kamel, MD
- Neurology
A substudy of the SPARCL trial indicates that patients with stroke or transient ischemic attack benefit from statin therapy regardless of baseline diabetes.- Reviewing:
- Callahan A et al., Arch Neurol 2011 Oct; 68:1245.
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Short-Term Stroke Risk in Patients Who Suffer Transient Ischemic Attacks
- October 27, 2011
- Allan S. Brett, MD
- General Medicine
Combining magnetic resonance imaging and ABCD2 scoring improves stroke prediction.- Reviewing:
- Giles MF et al., Neurology 2011 Sep 27; 77:1222.
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Tissue-Based Definition of TIA Is Superior to Time-Based Definition for Predicting Recurrent Stroke
- October 14, 2011
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Rates of recurrent stroke were 7.1% in patients with tissue-positive TIA and 0.4% in those with tissue-negative TIA.- Reviewing:
- Giles MF et al., Neurology 2011 Sep 27; 77:1222.
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Symptomatic Carotid Stenosis and Short-Term Recurrent Stroke Risk
- October 4, 2011
- Hooman Kamel, MD
- Neurology
A prospective, community-based study indicates that even short delays in surgery may expose patients to unnecessary risk.- Reviewing:
- Marnane M et al., Neurology 2011 Aug 23; 77:738.
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Intensive Medical Therapy vs. Stenting for Severe Symptomatic Intracranial Stenosis Free
- September 20, 2011
- Bruce Ovbiagele, MD, MS
- Neurology
Intensive medical therapy alone won out in the SAMMPRIS trial.- Reviewing:
- Chimowitz MI et al., N Engl J Med 2011 Sep 15; 365:993.
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Ultrasound Measurements May Stratify Stroke Risk with Asymptomatic Carotid Stenosis Free
- August 30, 2011
- Bruce Ovbiagele, MD, MS
- Neurology
Two measurements — embolic signal and plaque echolucency — helped stratify stroke risk; a combination of the measurements increased predictive ability.- Reviewing:
- Topakian R et al., Neurology 2011 Aug 23; 77:751.
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Depression After Transient Ischemic Attack
- August 16, 2011
- Bruce Ovbiagele, MD, MS
- Neurology
Prospective data suggest that TIA confers an increased risk for depression over a prolonged period.- Reviewing:
- Luijendijk HJ et al., Stroke 2011 Jul; 42:1857.
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ABCD2 Score Might Be Poor Predictor of Stroke Risk
- August 5, 2011
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
Sensitivity of the score was poor in a cohort of emergency department TIA patients with a 1.8% incidence of stroke at 7 days.- Reviewing:
- Perry JJ et al., CMAJ 2011 Jul 12; 183:1137.
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Stenting for Symptomatic Extracranial Vertebral Artery Stenosis
- July 26, 2011
- Jaime Toro, MD
- Neurology
Rates of periprocedural stroke, transient ischemic attack, and restenosis are low, according to a systematic literature review.- Reviewing:
- Stayman AN et al., Stroke 2011 Jun 23;:
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Triage for Transient Ischemic Attack in the Emergency Department
- July 19, 2011
- Mathew Reeves, BVSc, PhD
- Neurology
Outcomes after TIA were comparable for people managed as outpatients and those managed as inpatients, after triage with the ABCD2 risk-stratification score.- Reviewing:
- Olivot J-M et al., Stroke 2011 Jul; 42:1839.
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Aspirin Discontinuation and Cerebrovascular Events
- April 5, 2011
- Bruce Ovbiagele, MD, MS
- Neurology
Does discontinuation increase the risk for stroke or transient ischemic attack?- Reviewing:
- García Rodríguez LA et al., Neurology 2011 Feb 22; 76:740.
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Updated Guidelines on Secondary Stroke Prevention Free
- March 8, 2011
- Bruce Ovbiagele, MD, MS
- Neurology
An update of the American Heart Association/American Stroke Association guidelines incorporates several lines of new evidence.- Reviewing:
- Furie KL et al., Stroke 2011 Jan; 42:227.
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Dabigatran for Patients with Atrial Fibrillation and Prior TIA or Stroke?
- December 14, 2010
- Kirsten E. Fleischmann, MD, MPH
- General Medicine
The drug compared favorably to warfarin in patients with previous transient ischemic attack or stroke.- Reviewing:
- Diener HC et al., Lancet Neurol 2010 Dec; 9:1157. Lane DA and Lip GY., Lancet Neurol 2010 Dec; 9:1140.
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