Modest Improvement in Risk Factor Control After Admission for a Stroke or Transient Ischemic Attack

2005 ◽  
Vol 14 (4) ◽  
pp. 174-178 ◽  
Author(s):  
Eric M. Cheng ◽  
Desmond Jolly ◽  
Lesley A. Jones ◽  
Stanley N. Cohen
Keyword(s):  
Risk Factor ◽  
Transient Ischemic Attack ◽  
Risk Factor Control ◽  
Modest Improvement ◽  
Ischemic Attack

Risk factor control after ischemic stroke or transient ischemic attack

2021 ◽  
Author(s):  
Nanxiang Ouyang ◽  
Chuning Shi ◽  
Xiaofan Guo ◽  
Yihan Chen ◽  
Yingxian Sun
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Transient Ischemic Attack ◽  
Risk Factor Control ◽  
Ischemic Attack

Color Duplex Sonography Findings of the Carotid Arteries and Associated Risk Factors in Patients with Transient Ischemic Attack

2016 ◽  
Vol 70 (1) ◽  
pp. 35-38
Author(s):  
Anita Arsovska ◽  
Emilija Antova ◽  
Sasho Stojcev ◽  
Irena Gjorceva ◽  
Marija Babunska ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Carotid Artery ◽  
Transient Ischemic Attack ◽  
Carotid Arteries ◽  
Duplex Sonography ◽  
Low Grade ◽  
Color Duplex Sonography ◽  
Ischemic Attack ◽  
Associated Risk Factors

Abstract Introduction. A transient ischemic attack (TIA) is an acute episode of temporary neurologic dysfunction that typically lasts less than an hour. Atherosclerotic plaques in the carotid arteries may cause TIA by lumen stenosis or plaque-related thromboembolism. The aim of this paper was to analyze the changes of the carotid arteries in patients with TIA and associated risk factors. Methods. A retrospective analysis of 62 TIA patients was performed. Color duplex sonography of the carotid arteries and risk factor assessment was carried out in all patients. Results. We analyzed 15(24%) females and 47(76%) males with TIA, aged 45-79 years. The most frequent risk factor was hypertension, present in 57 patients (91.9%). The most common findings of the extracranial segments of the carotid arteries were atheromatous plaques present in 25.8% and low-grade stenosis (40-59%) visualized in 24.1% of patients. Multiple plaques predominated, mostly localized in the region of bifurcation and the beginning of the internal carotid artery (67.7%), with irregular surface (in 58.1%), heterogenous structure (70.9%) and mostly hypoechogenic (46.8%). Conclusion. These data have demonstrated a significant relationship between carotid artery ultrasound plaque characteristics and TIA occurrence. That is why color duplex sonography of the carotid arteries should be carried out in all TIA patients and risk factors should be evaluated, in order to take appropriate therapeutic measures for prevention of definitive stroke.

scholarly journals An Electronic Referral Initiative to Facilitate Referral to a Chronic Disease Self-Management Program for Persons with Transient Ischemic Attack

ACI Open ◽  
2017 ◽  
Vol 01 (01) ◽  
pp. e1-e6
Author(s):  
Dorothy Kessler ◽  
Amir Afkham ◽  
Aline Bourgoin ◽  
Sophia Gocan ◽  
Brammiya Sivakumar ◽  
...  
Keyword(s):  
Risk Factor ◽  
Chronic Disease ◽  
Transient Ischemic Attack ◽  
Stroke Prevention ◽  
Primary Care Providers ◽  
Self Management ◽  
Management Support ◽  
Electronic Referral ◽  
Ischemic Attack ◽  
Prevention Clinic

Background Transient ischemic attack (TIA) is a strong predictor of subsequent stroke. Measures to decrease stroke incidence following TIA include medical management, risk factor optimization, and lifestyle modification. Best practice recommendations for stroke care promote individualized education on self-management across transitions from hospital to community settings. In the study region, patients with TIA are referred to the stroke prevention clinic where they receive rapid stroke assessment, risk factor management, education, and referral to risk reduction programs. Long-term management is typically the responsibility of primary care providers who may have limited resources for self-management support. Promotion of existing chronic disease self-management (CDSM) programs can complement this support. Objective The objective of our project was to examine the feasibility and acceptability of an electronic referral system to an existing CDSM program to facilitate self-management support for persons with TIA. Methods We performed a descriptive evaluation of a quality improvement project that involved development and implementation of a new electronic referral (eReferral) process. A partnership between the stroke prevention clinic and the regional Living Healthy CDSM program was developed alongside a clinical information system redesign implementing an eReferral system. Results Referral to the Living Healthy CDSM program was offered to each patient at the stroke prevention clinic. Of 912 patients seen over a 6-month period, 62 (7%) agreed to be referred. Of these, 23 (37%) were registered or waitlisted. Conclusion Formation of a partnership and implementation of the eReferral system facilitated referral to the Living Healthy CDSM program. Despite low referral and enrollment rates, the eReferral system provides one option to enhance self-management support for persons with TIA.

Different Risk Factor Profiles between Transient Global Amnesia and Transient Ischemic Attack: A Large Case-Control Study

2013 ◽  
Vol 71 (1-2) ◽  
pp. 19-24 ◽  
Author(s):  
Jae-Won Jang ◽  
So Young Park ◽  
Jeong-Ho Hong ◽  
Young Ho Park ◽  
Jung E. Kim ◽  
...  
Keyword(s):  
Risk Factor ◽  
Transient Ischemic Attack ◽  
Case Control Study ◽  
Transient Global Amnesia ◽  
Case Control ◽  
Global Amnesia ◽  
Ischemic Attack ◽  
Control Study ◽  
Large Case

Abstract WMP44: Differential Middle Cerebral Artery Plaque Characteristics in Patients With Transient Ischemic Attack and Ischemic Stroke: A High-Resolution MR Vessel Wall Imaging Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Jiayu Xiao ◽  
Matthew Padrick ◽  
Qi Yang ◽  
Tao Jiang ◽  
Shuang Xia ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Transient Ischemic Attack ◽  
Vessel Wall ◽  
Vessel Wall Imaging ◽  
Plaque Burden ◽  
Ischemic Attack ◽  
Wall Imaging

Introduction: Intracranial atherosclerotic disease (ICAD) correlates highly with transient ischemic attack (TIA) and acute ischemic stroke (AIS). Magnetic Resonance (MR) vessel wall imaging (VWI) is an emerging non-invasive imaging modality for directly assessing ICAD lesions. Methods: We retrospectively analyzed MR-VWI from 42 TIA patients and 45 AIS patients with ICAD. All patients fulfilled the following criteria: (1) stenosis >30% of a middle cerebral artery (MCA), (2) symptoms contralateral to stenotic MCA, (3) no coexisting stenosis at other major vessels; (4) lack of compelling evidence to other etiologies of stroke/TIA. Vascular lesions were analyzed with MR-VWI with respect to the stenosis degree, vessel wall irregularity, plaque burden (PB), remodeling index (RI), plaque-wall contrast ratio (CR) and plaque enhancement grade (EG). Results: EG (OR 3.88, 95%CI 1.42-10.57, P=0.006) was a risk factor for AIS while PB (OR 0.65, 95%CI 0.27-1.54, P=0.008) was a risk factor for TIA. In patients with 30-70% degree stenosis, CR (OR 5.38, 95%CI 1.39-20.75, P=0.008) was a risk factor for stroke, while PB (OR 0.4, 95%CI 0.1-1.65, P=0.006) remained a risk factor for TIA. Conclusions: In our study, PB appeared as a risk factor for TIA but not for AIS. This suggests that unstable plaque accounting for AIS may have a wide range of PB. We further found that CR and EG are more associated with AIS than TIA. Lesions with high CR and strong enhancement may be more prone to producing the permanent ischemic injury. Further study is needed to elucidate the role of MR-VWI in differential diagnosis and management of TIA and AIS.

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