NOV 01, 2017 05:09 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
DEC 03, 2018
Cardiology
DEC 03, 2018
Alcohol Consumption: How Much Is Too Much for the Heart?
  Arteries stiffen over time as a result of aging, but heavy alcohol drinking habits over a lifetime can accelerate arterial aging, especially in men....
JAN 20, 2019
Cardiology
JAN 20, 2019
Understand Your Blood Pressure Measurements
Every time you go to your doctor, they check your blood pressure (BP). You know that this is an important measure of your hearts health, but do you know wh...
FEB 08, 2019
Cardiology
FEB 08, 2019
E-Cigarette Study Investigates Risks
In the largest study of its kind, researchers examined data from the Behavioral Risk Factor Surveillance System (BRFSS). The info was collected in 2016 fro...
FEB 17, 2019
Cardiology
FEB 17, 2019
Woman Nearly Twice As Likely To Die After Surgery
An aortic dissection is a tear in the large artery that supplies oxygenated blood to the body. This happens most often in older patients in their 60’...
FEB 21, 2019
Cardiology
FEB 21, 2019
Banishing Heart Disease Myths
There are a number of myths surrounding heart disease. This can be dangerous for heart patients, and their children, if allowed to interfere with heart-hea...
MAY 24, 2019
Cardiology
MAY 24, 2019
Soda Taxes Reduce Consumption
We know that over-consuming sugary drinks is not good for us. Regardless many of us still struggle to fight off that urge. In 2010 Coca-Cola sold over 900 ...
Loading Comments...