FAQ - ischemic attack, transient
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What is the difference between a Cerebral Vascular Accident (Stroke) & a Transient Ischaemic Attack (TIA)?

This article from Mayo clinic will help you out in depth.

Signs and symptoms

Knowing the signs and symptoms of a stroke may make it possible for you or someone you know to get prompt treatment. The signs and symptoms of stroke usually occur suddenly; frequently there's more than one. Signs and symptoms include:

* Sudden numbness, weakness, or paralysis of your face, arm or leg — usually on one side of your body
* Sudden difficulty speaking or understanding speech (aphasia)
* Sudden blurred, double or decreased vision
* Sudden dizziness, loss of balance or loss of coordination
* A sudden, severe "bolt out of the blue" headache or an unusual headache, which may be accompanied by a stiff neck, facial pain, pain between your eyes, vomiting or altered consciousness
* Confusion, or problems with memory, spatial orientation or perception

For most people, a stroke gives no warning. But one possible sign of an impending stroke is a transient ischemic attack (TIA). A TIA is a temporary interruption of blood flow to a part of your brain.

The signs and symptoms of TIA are the same as for a stroke, but they last for a shorter period — several minutes to 24 hours — and then disappear, without leaving apparent permanent effects. You may have more than one TIA, and the recurrent signs and symptoms may be similar or different.

A TIA indicates a serious underlying risk that a full-blown stroke may follow. People who have had a TIA are much more likely to have a stroke as are those who haven't had a TIA.

NB: My observation/s:

The Hematoma of brain is visible in CT scan in CVA plain and contrast.
While in TIA it may not be visible in CT scan Plain and contrast.
Hope answered your question.  (+ info)

Is it possislbe to head off a stroke, or tran ischemic attack before it happens?

Been having brief blackouts, at least that's what it feels like, like i slip out of my body momentarily,and return almost instantlly, just a little disoriented and thinking, "Did that just really happen, or was it my imagination.
Somebody just said that it is a trans ischemic attack which is a precursor to a stroke. I'm 33, my sister had a stroke when she was 19, and I have a heart murmer. Is there anything I can do to prevent a stroke from happening to me??

This is something you should see your doctor about immediately, not later. This someone that's diagnosing you should have told you to see a doctor. You don't know what you have or if you have anything but, whatever it is, is not normal.  (+ info)

driving after experiencing a Transient Ischaemic Attack?

My Father in law had his first ever TIA last week and until he has had a head scan he has been advised not to drive. I just wondered what the long term prospects are for people of which experience TIA's with regards to driving?
He will also be 70 this year so I would assume this could indeed affect his chances of obtaining further authorisation to drive after turning 70?

Each case is different depending on the strength of the mini stroke and any underlying issues. My father in law too had one recently and after 13 weeks he is finally passed fit to drive. The remaining damage he has is short term memory effecting his speech and slight weakness down one side. I also had one 4 years ago after a riding accident. I have 99.9% recvered and have a very very slight weakness on one side.  (+ info)

Transient Ischemic Attacks?

My symptoms are at any given time of the day I have these attacks. Its becomes hard for me to speak, arms are weak and I cant lift them to type, walking becomes hard to do without stumbling. Numbness on the left side of my body. The only way for me to get thru this is to lay down for HOURS at a time. Please someone help me. Ive had an MRI which showed nothing but Im still conviced its something..maybe TIA. HELP

TIA is a mini stroke, you may be having seizures and an MRI will not show anything. You may need to have a head CT and/or EEG. See your doctor asap and ask for a referral to a neurologist. NOW  (+ info)

What parts of the heart will become ischemic and die?

during a lethal heart attack, a blood clot lodges in the first part of the circumflex branch of the left coronary artery, blocking blood flow through this vessel. What parts of the heart will become ischemic and die?

The left circumflex artery (LCX) gives marginal branches that supply lateral, posterior and inferior segments of the left ventricle.  (+ info)

What is the difference between a TIA and a heart attack?

My doctor said its possible I suffered a mild ischemic attack. His explanation was very vague and sounded as if he could not determine between them.

  (+ info)

I have just gone through an Ischemic Attack I want to know if I should worry about this or not.?

It was a Transient Ischemic Attack to be more exact.

The mainstay of treatment following acute recovery from a TIA should be to diagnose and treat the underlying cause. Most patients who are diagnosed at a hospital's Accident & Emergency Department as having suffered from a TIA will be discharged home and advised to contact their primary physician to organize further investigations.

An electrocardiogram (EKG) may show atrial fibrillation, a common cause of TIAs, or other arrhythmias that may cause embolisation to the brain. An echocardiogram is useful in detecting thrombus within the heart chambers. Such patients benefit from anticoagulation.

If the TIA affects an area supplied by the carotid artery, an ultrasound scan may demonstrate carotid stenosis. For people with a greater than 70% stenosis within the carotid artery, removal of atherosclerotic plaque by surgery, specifically a carotid endarterectomy, may be recommended.

Some patients may also be given modified release dipyridamole or clopidogrel.

This is a life threatening emergency.

You can not tell the difference between a CVA (stroke) and a TIA in the field.

Ensure the patient's airway remains open.

A person having a stroke may suddenly lose consciousness. Get the patient to sit down.

Watch for any changes in the patient's speech or level of consciousness. If the patient loses consciousness, monitor respirations and pulse and be ready to perform CPR. Look for muscle droop on one side of the patient's face, or weakness on one side of the patient's body. Note if the pupil in one eye is larger than the other. If possible, record the patient's pulse and respiratory rate every five minutes and provide this information to the EMS or the treating physician.

There is almost nothing that can be done in the field for a patient suffering a stroke or a TIA.

If you have oxygen, administer it at low concentration, high concentration if the patient has difficulty breathing.


If it is a stroke, it might be caused by a blood clot (embolism) or a ruptured blood vessel (hemorrhage.) Aspirin is a blood thinner. If given to a person who is bleeding, it will make it worse.

Incidentally, there is not much an EMS crew can do for a patient who is suffering from a stroke. If the ambulance is delayed, the best thing you can do is put the patient in your car and go to the nearest hospital without any delay. Seconds count.  (+ info)



  (+ info)

what are the ischemic changes in the heart caused by poor, weakened, or deteriorated small blood vessels?

I have stable/unstable angina due to my small bloodvessels being weak and deterioating before bringing adequate blood supply to my heart. It caused chest pain andpotential heart attack risks.What are good treatments for this disease. My mother apparently had a similar problem and died at the early age of 56. How can I get help?

Well you should be evaluated by your physician and get serial CPK's and an EKG done to see if any damage has occurred. They should refer you to a cardiologist to further evaluate your heart function by echo-cardiogram, stress test and other labs such as an NPA level (an indicator of congestive heart failure) If you have damage then they may perform a heart cath in which they insert a catheter to measure numbers given off my each ventricle and your pulmonary artery. It will also determine how much blockage you have in your coronary arteries. Then they will decide whether you need stents or open heart surgery. Just to let you know, more stents are being performed these days and they are less riskier than bypass surgery. In the meantime your doctor may prescribe medications such as aspirin or beta blockers to reduce the risk/damage if a heart attack occurs.
Other ways to lower you risk.. maintain a healthy weight, don't smoke, drink alcohol in moderation, control your blood pressure and cholesterol, watch your saturated fat and salt intake, exercise and enjoy life. Heredity plays a major factor in heart disease. Unfortunately, we cannot change our genes but we can modify our lifestyles.  (+ info)

Has anyone suffered a Transient Ishcemic Attack (Mini Stroke)?

I was wondering as I had 2 in May, tests turned out ok, but I find myself extremely tired all the time. Is this normal?

TIA by definition resolve in less than 24 hours, so fatigue can not be from your TIA's, see your doctor, anemia, thyroid disease, sleep apnea, could be some reasons, they could look for some more reasons too, good luck  (+ info)

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