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What Are The Signs And Symptoms Of TIA?

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Posted on Tue, 24 Jan 2017
Question: I have one question concerning my husband, who had, I believe, a TIA event last week and I was told that transient ischemic strokes are treated with a drug called t-PA, that dissolves the blood clots that block the blood flow to the brain. I realize that the window of opportunity to start treating a stroke or mini- stroke is three hours.
Not having experienced the loss of eyesight in one eye for 1 to 2 minutes before we didn't call 911. When his eyesight came back, we thought something else happened to his eye. Is it too late to treat my husband with t-PA to help prevent mini-strokes or stroke?
doctor
Answered by Dr. Ilir Sharka (55 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that your husband seems to have gone through a TIA.

This is a temporary lack of blood perfusion in a certain region of the brain.

But, as he is OK now, it indicates that the blood perfusion has been established again.

So t-PA is not necessary in this situation.

Anyway I recommend consulting with his attending physician as soon as possible and perform some tests to investigate for the possible underlying causes:

- a Doppler ultrasound of the cervical arteries
- an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia
- blood lipid profile
- fasting glucose
- kidney and liver function tests
- complete blood count.

Taking Aspirin 80-100mg daily would help prevent further episodes.

Hope to have been helpful!

Kind regards,

Dr.Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
Thank you, Dr. We will follow up on your valuable suggestions. XXXXXXX and XXXXXXX
doctor
Answered by Dr. Ilir Sharka (7 hours later)
Brief Answer:
You are welcome!

Detailed Answer:
Dear XXXXXXX

I am glad to have been helpful to you and your husband!

Wishing all the best,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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What Are The Signs And Symptoms Of TIA?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that your husband seems to have gone through a TIA. This is a temporary lack of blood perfusion in a certain region of the brain. But, as he is OK now, it indicates that the blood perfusion has been established again. So t-PA is not necessary in this situation. Anyway I recommend consulting with his attending physician as soon as possible and perform some tests to investigate for the possible underlying causes: - a Doppler ultrasound of the cervical arteries - an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia - blood lipid profile - fasting glucose - kidney and liver function tests - complete blood count. Taking Aspirin 80-100mg daily would help prevent further episodes. Hope to have been helpful! Kind regards, Dr.Iliri