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A transient ischemic attack (TIA) is the mildest form of a stroke. It happens when blood flow to part of the brain is blocked or reduced , often by a blood clot. After a short time, blood flows again and symptoms go away. Symptoms are the same as a stroke but don't last long and typically don't cause lasting damage.
A TIA happens when there's a blockage in a blood vessel that supplies blood to part of the brain. The blockage can form when blood vessels are damaged by high blood pressure or high cholesterol. A blood clot can also travel to the brain from another location, like the heart or blood vessels in the neck.
Symptoms of a TIA are the same as a stroke. The most common symptoms are:
Other symptoms are:
Symptoms usually last for 10 to 20 minutes.
Because TIA lasts only a short time (it’s transient), you are recovered from TIA by the time you see a doctor. Your doctor will ask you about your medical history and does a physical examination. You may have tests, like a CT scan of the head or an MRI scan of your head and brain arteries. These tests check for damage to the brain and other diseases that might act like a TIA. Other tests are often done to find the cause of the TIA.
A TIA may happen before a more severe or permanent stroke. If you've had a TIA, your doctor will start you on medicines to help prevent a stroke. If tests show that the blood vessels (carotid arteries) in your neck are too narrow, you may need a procedure to open them up. This can help prevent blood clots that block blood flow to your brain.
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A TIA happens when there is a blockage in a blood vessel that supplies blood flow to part of the brain. The blockage can form when blood vessels are damaged by high blood pressure or high cholesterol. A blood clot can also travel to the brain from another location, such as the heart or blood vessels in the neck.
Brain cells are affected within seconds of the blockage. This causes symptoms in the parts of the body that are controlled by those cells.
Sometimes a TIA is caused by a sharp drop in blood pressure that reduces blood flow to the brain. This is called a "low-flow" TIA. It is not as common as other types.
A risk factor is anything that makes you more likely to have a particular health problem. Some of the risk factors for a TIA are things you can treat or change (modifiable risk factors). These include:
Some of the risk factors are things you can't change (non-modifiable) include:
Here are some ways to reduce your risk of having another TIA.
Symptoms of a TIA are the same as symptoms of a stroke. But symptoms of a TIA don't last very long. Most of the time, they go away in 10 to 20 minutes. The most common symptoms are:
If you have any of these symptoms, call 911 or other emergency services right away. If you continue to have symptoms, you are having a stroke and need medical attention now. If your symptoms go away in minutes, you have had a TIA and should see a doctor the same day.
Ask your family, friends, and co-workers to learn the signs of a TIA. They may notice these signs before you do. Make sure they know to call 911 if these signs appear.
A TIA usually doesn't cause any lasting problems. But it is a serious warning sign of a possible stroke in the future. If you have other medical conditions such as coronary artery disease or atherosclerosis, you may also have an increased risk for a heart attack. Talk to your doctor about your risk. Understanding your risk will help you and your doctor plan your treatment options.
You can do a lot to lower your chance of having another TIA or a stroke. Medicines can help, and you may also need to make lifestyle changes.
Call 911 or other emergency services immediately if you have signs of a stroke, such as:
Call your doctor now if you have:
Call your doctor today if you think you have had a TIA in the past and have not yet talked with your doctor about your symptoms.
You need to be checked by a doctor the same day if you have had or are having a TIA. Your doctor will ask you about your medical history and do a physical examination. The examination results may be normal if the symptoms have already gone away.
If a TIA is suspected, the doctor may want to do tests. The tests include a CT scan of the head or an MRI to check for brain damage and look for other diseases that might act like a TIA or stroke.
More tests are often done to find the cause of the TIA. This may include:
If you've had a TIA, you may need more testing and treatment after you get checked by your doctor. If you have a high risk of stroke, you may have to stay in the hospital for treatment.
Your treatment for a TIA may include taking medicines to prevent blood clots or a stroke, or having surgery to reopen narrow arteries.
Your doctor will probably prescribe several medicines after you've had a TIA. Medicines to prevent blood clots are often used. This is because blood clots can cause TIAs and strokes.
The types of medicines that prevent clotting are:
Medicines to lower cholesterol and blood pressure are also used to prevent TIAs and strokes.
Antiplatelet medicines keep platelets in the blood from sticking together. They include:
Anticoagulants such as warfarin (for example, Coumadin), apixaban (Elliquis), edoxaban (Lixiana), rivaroxaban (Xarelto), and dabigatran (Pradaxa) prevent blood clots from forming. And they keep existing blood clots from getting bigger.
You may need to take this type of medicine after a stroke if you have atrial fibrillation or another condition that makes you more likely to have another stroke.
Statins, such as atorvastatin (Lipitor) or rosuvastatin (Crestor), and other medicines, such as ezetimibe (Ezetrol), lower cholesterol and the risk for a TIA or stroke.
If you have high blood pressure, your doctor may want you to take medicines to lower it. Blood pressure medicines include:
If you have serious blockage in the carotid arteries in your neck, you may need a carotid endarterectomy. During this surgery, a surgeon removes plaque buildup in the carotid arteries.
Carotid artery angioplasty and stenting are sometimes done instead of surgery to prevent a TIA or stroke. It's also called carotid angioplasty and stenting. A doctor uses a thin tube called a catheter. The tube is put into an artery in your groin. It is threaded up to the carotid artery in your neck. The doctor then uses a tiny balloon to enlarge the narrowed part of the artery and places a metal stent to keep the artery open.
When a procedure is being considered after a TIA, the benefits and risks must be carefully weighed because the procedures may cause a stroke. Factors in the decision about having a procedure include your age, prior overall health, and current condition.
Adaptation Date: 2/23/2022
Adapted By: Alberta Health Services
Adaptation Reviewed By: Alberta Health Services
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