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Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists.

Abstract

This scientific statement is intended for use by physicians and allied health personnel caring for patients with transient ischemic attacks. Formal evidence review included a structured literature search of Medline from 1990 to June 2007 and data synthesis employing evidence tables, meta-analyses, and pooled analysis of individual patient-level data. The review supported endorsement of the following, tissue-based definition of transient ischemic attack (TIA): a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction. Patients with TIAs are at high risk of early stroke, and their risk may be stratified by clinical scale, vessel imaging, and diffusion magnetic resonance imaging. Diagnostic recommendations include: TIA patients should undergo neuroimaging evaluation within 24 hours of symptom onset, preferably with magnetic resonance imaging, including diffusion sequences; noninvasive imaging of the cervical vessels should be performed and noninvasive imaging of intracranial vessels is reasonable; electrocardiography should occur as soon as possible after TIA and prolonged cardiac monitoring and echocardiography are reasonable in patients in whom the vascular etiology is not yet identified; routine blood tests are reasonable; and it is reasonable to hospitalize patients with TIA if they present within 72 hours and have an ABCD(2) score >or=3, indicating high risk of early recurrence, or the evaluation cannot be rapidly completed on an outpatient basis.

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    Source

    Stroke 40:6 2009 Jun pg 2276-93

    MeSH

    Cerebral Angiography
    Evidence-Based Medicine
    Hematologic Tests
    Humans
    Ischemic Attack, Transient
    Magnetic Resonance Imaging
    Reference Standards
    Risk Assessment
    Stroke
    Terminology as Topic
    Tomography, X-Ray Computed

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    19423857

    Citation

    Easton, J Donald, et al. "Definition and Evaluation of Transient Ischemic Attack: a Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Stroke Council; Council On Cardiovascular Surgery and Anesthesia; Council On Cardiovascular Radiology and Intervention; Council On Cardiovascular Nursing; and the Interdisciplinary Council On Peripheral Vascular Disease. the American Academy of Neurology Affirms the Value of This Statement as an Educational Tool for Neurologists." Stroke, vol. 40, no. 6, 2009, pp. 2276-93.
    Easton JD, Saver JL, Albers GW, et al. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke. 2009;40(6):2276-93.
    Easton, J. D., Saver, J. L., Albers, G. W., Alberts, M. J., Chaturvedi, S., Feldmann, E., ... Sacco, R. L. (2009). Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke, 40(6), pp. 2276-93. doi:10.1161/STROKEAHA.108.192218.
    Easton JD, et al. Definition and Evaluation of Transient Ischemic Attack: a Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Stroke Council; Council On Cardiovascular Surgery and Anesthesia; Council On Cardiovascular Radiology and Intervention; Council On Cardiovascular Nursing; and the Interdisciplinary Council On Peripheral Vascular Disease. the American Academy of Neurology Affirms the Value of This Statement as an Educational Tool for Neurologists. Stroke. 2009;40(6):2276-93. PubMed PMID: 19423857.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. AU - Easton,J Donald, AU - Saver,Jeffrey L, AU - Albers,Gregory W, AU - Alberts,Mark J, AU - Chaturvedi,Seemant, AU - Feldmann,Edward, AU - Hatsukami,Thomas S, AU - Higashida,Randall T, AU - Johnston,S Claiborne, AU - Kidwell,Chelsea S, AU - Lutsep,Helmi L, AU - Miller,Elaine, AU - Sacco,Ralph L, AU - ,, AU - ,, AU - ,, AU - ,, AU - ,, AU - ,, Y1 - 2009/05/07/ PY - 2009/5/9/entrez PY - 2009/5/9/pubmed PY - 2009/6/13/medline SP - 2276 EP - 93 JF - Stroke JO - Stroke VL - 40 IS - 6 N2 - This scientific statement is intended for use by physicians and allied health personnel caring for patients with transient ischemic attacks. Formal evidence review included a structured literature search of Medline from 1990 to June 2007 and data synthesis employing evidence tables, meta-analyses, and pooled analysis of individual patient-level data. The review supported endorsement of the following, tissue-based definition of transient ischemic attack (TIA): a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction. Patients with TIAs are at high risk of early stroke, and their risk may be stratified by clinical scale, vessel imaging, and diffusion magnetic resonance imaging. Diagnostic recommendations include: TIA patients should undergo neuroimaging evaluation within 24 hours of symptom onset, preferably with magnetic resonance imaging, including diffusion sequences; noninvasive imaging of the cervical vessels should be performed and noninvasive imaging of intracranial vessels is reasonable; electrocardiography should occur as soon as possible after TIA and prolonged cardiac monitoring and echocardiography are reasonable in patients in whom the vascular etiology is not yet identified; routine blood tests are reasonable; and it is reasonable to hospitalize patients with TIA if they present within 72 hours and have an ABCD(2) score >or=3, indicating high risk of early recurrence, or the evaluation cannot be rapidly completed on an outpatient basis. SN - 1524-4628 UR - https://www.unboundmedicine.com/medline/citation/19423857/full_citation L2 - http://www.ahajournals.org/doi/full/10.1161/STROKEAHA.108.192218?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -