Acute Stroke and Transient Ischemic Attack in the Outpatient Clinic

Med Clin North Am. 2017 May;101(3):479-494. doi: 10.1016/j.mcna.2017.01.001. Epub 2017 Mar 6.

Abstract

Ischemic stroke is cause of substantial death and disability in the United States. Transient ischemic attack, a precursor to ischemic stroke, conveys a high risk of recurrent stroke within 90 days from event. These conditions are highly preventable and treatable. The cause is heterogenous and includes atherothrombosis, cardioembolism, lacunar disease, or cryptogenic, and some uncommon causes, such as arterial dissection and prothrombotic states. The emergent evaluation includes establishing time of onset, vital signs, glucose level, and severity of the deficit.

Keywords: Emergent evaluation; Risk stratification; Stroke; TIA; Transient ischemic attack; Treatment.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Ambulatory Care Facilities
  • Blood Glucose
  • Blood Pressure
  • Comorbidity
  • Diagnosis, Differential
  • Emergencies
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • International Normalized Ratio
  • Ischemic Attack, Transient / diagnosis
  • Ischemic Attack, Transient / drug therapy*
  • Ischemic Attack, Transient / therapy*
  • Oxygen Inhalation Therapy
  • Risk Assessment
  • Risk Factors
  • Secondary Prevention / methods
  • Stroke / diagnosis
  • Stroke / physiopathology*
  • Stroke / therapy*
  • Thrombectomy / methods
  • Time Factors

Substances

  • Blood Glucose
  • Fibrinolytic Agents