Journal article
Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment
American family physician, v 86(6), pp 527-532
15 Sep 2012
PMID: 23062044
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Interventions following a transient ischemic attack are aimed at preventing a future episode or stroke. Hypertension, current smoking, obesity, physical inactivity, diabetes mellitus, and dyslipidemia are all well-known risk factors, and controlling these factors can have dramatic effects on transient ischemic attack and stroke risk. For patients presenting within 48 hours of resolution of transient ischemic attack symptoms, advantages of hospital admission include rapid diagnostic evaluation and early intervention to reduce the risk of stroke. For long-term prevention of future stroke, the American Heart Association/American Stroke Association recommends antiplatelet agents, statins, and carotid artery intervention for advanced stenosis. Aspirin, extended-release dipyridamole/aspirin, and clopidogrel are acceptable first-line antiplatelet agents. Statins have also been shown to reduce the risk of stroke following transient ischemic attack, with maximal benefit occurring with at least a 50 percent reduction in low-density lipoprotein cholesterol level or a target of less than 70 mg per dL (1.81 mmol per L). For those with transient ischemic attack and carotid artery stenosis, carotid endarterectomy is recommended if stenosis is 70 to 99 percent, and perioperative morbidity and mortality are estimated to be less than 6 percent. (Am Fam Physician. 2012; 86 (6):527-532. Copyright (C) 2012 American Academy of Family Physicians.)
Metrics
14 Record Views
Details
- Title
- Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment
- Creators
- B. Brent Simmons - Drexel UniversityAnnette B. Gadegbeku - Drexel Univ, Coll Med, Dept Family Community & Prevent Med, Philadelphia, PA 19127 USABarbara Cirignano - Drexel Univ, Coll Med, Dept Family Community & Prevent Med, Philadelphia, PA 19127 USA
- Publication Details
- American family physician, v 86(6), pp 527-532
- Publisher
- Amer Acad Family Physicians
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Family (Community and Preventive) Medicine
- Web of Science ID
- WOS:000308849600007
- Scopus ID
- 2-s2.0-84866438024
- Other Identifier
- 991019184053404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Primary Health Care