Wednesday, September 25, 2024

What to do if you have a TIA, or suspect a TIA

 Don't do what I did.  Don't second guess the strange sensation you don't recognize.  You aren't a  doctor.  Just call the squad and let them take you to the Emergency Room at the nearest hospital.  It's sure better than waiting in line with all the other sick or injured people for 2 hours. After I made it through the ER (and had a second episode while waiting for a room) I was put in a room and was asked my name and birthday maybe 10 times and looked at fingers, touched my nose and pressed against hands to see my strength.  Since it was the day after my birthday,  I got many birthday wishes.

I had 2 CT of head/brain without contrast; a CT Angiogram; MRI brain without contrast; MRI brain with Contrast; echocardiogram complete with bubble study and an EKG 12-lead.

TIA Recovery, Tests & Diagnosis | What to Expect After Transient Ischemic Attack (healthgrades.com)

Imaging tests allow your doctor to look for blockages or damage to your brain, carotid arteries (the arteries in your neck that bring blood to your brain), and your heart.

  • CT (computed tomography or CAT scan) uses special X-ray equipment and a computer program for a more detailed look at your brain and carotid arteries than an X-ray alone would show.

  • MRI (magnetic resonance imaging) provides a more specialized view of the brain using magnetic waves rather than radiation like X-rays.

  • Magnetic resonance angiography (MRA) is similar to an MRI, but first the doctor injects a dye through an intravenous (IV) line. The doctor watches the dye’s movement on a screen as the dye moves through the blood vessels throughout your body including the brain. .  .  . 

TIA Prognosis and Outcome

A TIA is a medical emergency not because if its symptoms, but because of what a TIA means. Having a TIA is a warning that something is wrong with your vascular system and you are at risk for stroke. Doctors use a risk score—the ABCD2 score—to determine your risk for stroke after TIA. The score takes into account the following: 

  • A: Age: 1 point if you are older than 60 years

  • B: Blood pressure: 1 point if the systolic (upper) number is higher than 140 or the diastolic (lower) number is higher than 90

  • C: Clinical features: 1 point if your speech was affected but you don’t have any weakness; 2 points if you have weakness, with or without speech difficulties

  • D: Duration: 1 point if the duration of the TIA was between 10 to 59 minutes; 2 points if it has been 60 minutes or longer

  • D: Diabetes: 1 point if you have diabetes 

If you score a 6 or 7, there is an 8% risk of a stroke within 48 hours after the TIA. If you have a score of 4 or less, the risk is 1%. It’s important to keep in mind these percentages don’t mean you will have a stroke. They indicate your risk without treatment.

The definition of a TIA emphasizes that it is a transient, or temporary event. Therefore, TIA recovery occurs when the symptoms have gone away completely. If the symptoms do not go away, this is not a TIA, but a stroke.

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