NOV 01, 2017 5:09 AM PDT

Mini-Strokes: Harmless Now, Deadly Later

WRITTEN BY: Kara Marker

Some people receive a warning from their body that a serious stroke is on the way, a warning that comes in the form of a “mini-stroke,” known by some as a transient ischemic attack (TIA). A new study from Loyola University has scientists discussing the best way to approach medical care following a TIA. The general consensus? Don’t ignore the only warning you might get.

A scanning electron micrograph (SEM) depicted a number of red blood cells clotting on a vascular catheter.

TIAs are, like strokes, caused by a blockage of blood flow to the brain, but the blockage is only temporary and leaves no permanent brain damage. Symptoms like paralysis on one side of the body or speech impediment dissipate as fast as they came, as problematic blood clots either loosen and float away or just dissolve. However harmless TIAs may seem on the surface, they are still a warning that more severe strokes are in the future.

TIAs are often predictive of a future stroke; the American Heart Association estimates that each TIA carries about an eight percent risk of stroke in the days following a TIA. Lead authors of the new Loyola University study, Camilo R. Gomez, MD, Michael J. Schneck, MD, and José Biller, MD, say that TIAs provide an “opportunity to prevent a disabling event.”

The big question these doctors are asking is whether to hospitalize TIA patients or to evaluate them as outpatients. Convenience, cost-effectiveness, and safety are all concerns they have; neither approach is perfect. In the past, TIA patients have been hospitalized for 23 hours after the event for evaluation, but now researchers suggest a slight modification: the “TIA clinic.”

A TIA clinic has stroke neurologists on call, diagnostic tests to be given, and other specialists available on an as-needed basis. Depending on a particular patient’s needs, they could be given antiplatelet therapy to prevent these clotting cells from sticking together (aspirin does this), blood-thinning drugs, stent placement to open clogged arteries, drugs for blood pressure and cholesterol management, diabetes screening, and patient education. At the TIA clinic, the main goal is to prevent future strokes.

As for patient education, Gomez, Schneck, and Biller strongly recommend that patients be “counselled about smoking cessation, proper diet (preferably Mediterranean), regular exercise, maintenance of appropriate BMI (body mass index) and limiting alcohol consumption.”

All three neurologists specialize in stroke care, and they emphasize that a TIA is more than just a close call; it’s a reality check for people at risk for more serious strokes in the near future. Acknowledging this warning is crucial for people who need to realize that certain lifestyle changes - and potentially surgical procedures - are vital to preventing stroke and living longer.

The present study was published in the journal F1000 Research.

Sources: American Stroke Association, American Heart Association, Loyola University Health System

About the Author
  • I am a scientific journalist and enthusiast, especially in the realm of biomedicine. I am passionate about conveying the truth in scientific phenomena and subsequently improving health and public awareness. Sometimes scientific research needs a translator to effectively communicate the scientific jargon present in significant findings. I plan to be that translating communicator, and I hope to decrease the spread of misrepresented scientific phenomena! Check out my science blog: ScienceKara.com.
You May Also Like
JAN 26, 2021
Cardiology
Your Nose Could Tell You Something About Your Heart Health
JAN 26, 2021
Your Nose Could Tell You Something About Your Heart Health
As we get older, many things change in our bodies. We lose touch with the newest fashion trends, or which new phone is b ...
JAN 26, 2021
Genetics & Genomics
Why Only Some People With a Rare Mutation Get a Heart Condition
JAN 26, 2021
Why Only Some People With a Rare Mutation Get a Heart Condition
Scientists have found a way to explain why a heart condition called hypertrophic cardiomyopathy (HCM) can be so differen ...
MAR 01, 2021
Cardiology
How Heart Problems May Lead to Memory Deficits
MAR 01, 2021
How Heart Problems May Lead to Memory Deficits
Researchers have used a mouse model to show that heart problems can lead to disruptions in gene activity in the memory c ...
MAY 17, 2021
Cardiology
Healthier Hearts are Linked to Better Cognitive Function
MAY 17, 2021
Healthier Hearts are Linked to Better Cognitive Function
Researchers have found an association between healthier hearts and better cognitive abilities, like faster reaction time ...
MAY 31, 2021
Cardiology
OCD Linked to Increased Risk of Ischemic Stroke
MAY 31, 2021
OCD Linked to Increased Risk of Ischemic Stroke
Researchers have found that adults with obsessive-compulsive disorder (OCD) are over 3 times more likely to have an isch ...
JUL 12, 2021
Cardiology
Myocarditis in Children is Usually Due to a Virus
JUL 12, 2021
Myocarditis in Children is Usually Due to a Virus
The heart is a muscle, and the wall of the heart has several layers. In a condition called myocarditis, the middle layer ...
Loading Comments...