December 4, 2008

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Transient Ischemic Attack (Mini-Stroke) (cont.)

Transient Ischemic Attack (TIA) Treatment

Medical Treatment

Treatment of TIA is aimed at preventing a future stroke.

  • Minimizing risk factors is a priority, including optimizing blood pressure, cholesterol, and controlling diabetes.

  • Aspirin is the drug of choice to prevent future TIAs or stroke. Aspirin makes platelets less sticky and prevents clot formation.

  • If the TIA occurs when the patient is already taking aspirin, then alternative anti-platelet drugs like clopidogrel bisulfate (Plavix) or aspirin-dipyridamole ER (Aggrenox) may be indicated.

  • If the carotid ultrasound shows major narrowing of the artery (stenosis), referral to a vascular surgeon may be necessary to unclog the artery with a carotid endarterectomy.


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