| Predicting recurrent stroke after minor stroke and transient ischemic attack. | |
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MedLine Citation:
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PMID: 19814670 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The risk of a subsequent stroke following an acute transient ischemic attack or minor stroke is high, with 90-day risk at approximately 10%. Identification of those patients at the highest risk for recurrent stroke following a transient ischemic attack or minor stroke may allow risk-specific management strategies to be implemented, such as hospital admission with expedited work-up for those at high risk and emergency room discharge for those at low risk. Predictors of recurrent stroke, including the ABCD2 score, brain imaging and the stroke mechanism, are reviewed in this article, with a focus on recent literature. An emphasis is placed on the importance of early imaging of the brain parenchyma (diffusion-weighted imaging) and vascular imaging to identify patients at high risk for recurrence. The need for identification of the cause of the initial event, allowing therapies to be tailored to the individual patient, is discussed. |
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Authors:
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Philippe Couillard; Alexandre Y Poppe; Shelagh B Coutts |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Expert review of cardiovascular therapy Volume: 7 ISSN: 1744-8344 ISO Abbreviation: Expert Rev Cardiovasc Ther Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-09 Completed Date: 2010-01-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101182328 Medline TA: Expert Rev Cardiovasc Ther Country: England |
Other Details:
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Languages: eng Pagination: 1273-81 Citation Subset: IM |
Affiliation:
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Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Humans Ischemic Attack, Transient / complications* Recurrence Risk Stroke / epidemiology, etiology*, prevention & control |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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