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ORIGINAL ARTICLE
Year : 2020  |  Volume : 18  |  Issue : 2  |  Page : 130-135

A prospective study on patients with transient ischemic attack and minor ischemic stroke presenting to a tertiary care emergency department


1 Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Neurology, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. Aparna Lohanathan
Department of Emergency Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_2_20

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Background: The incidence of stroke after transient ischemic attack (TIA) has been observed to be high in the first 90 days. There are very few studies conducted in India to assess the risk of stroke in patients presenting with TIA. Hence, the primary aim of our study is to assess the risk of stroke in patients presenting to the emergency department (ED) with TIA or minor ischemic stroke (MIS) and the various risk factors associated with it. Materials and Methods: This was a prospective observational study done on consecutive patients who presented to our ED with neurovascular deficits suggestive of TIA or MIS within 16 h. Results: During the study period, a total of 71 patients were recruited. The mean age of the study group was 58.07 (standard deviation: 13.15) years. There was a male predominance of 70.4%. The incidence of TIA during the study period was 56 (78.9%) and that of MIS was 6 (8.5%) in our ED. Based on the magnetic resonance imaging stroke protocol finding, it was observed that among the TIA patients, about half of them had an infarct and 8.45% had a minor stroke with acute infarct. Overall, we observed that 19.7% of the recruited patients with TIA or MIS developed stroke within 3 months and majority of the clinical deterioration were in the 1st week post index event. Conclusion: TIA and MIS should be considered as a major ischemic event and should be treated aggressively with effective collaboration of various departments. Early diagnosis and proper treatment will help prevent further grave neurological deterioration.


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