Transient ischaemic attacks? Oh, I just get the GeneralPractitioner to start them on aspirin; it's not worth seeing them inthe clinic'. Whilst this sort of statement might have been acceptableten years ago, the many recent advances in the management of patientswith minor ischaemic strike and transient ischaemic attack (TIA) meanthat we need to radically review the way we handle these patients.Firstly, the risk of major stroke is highest in the first two threemonths after the onset of symptoms;~1 patients need to be assessedpromptly so that treat- ment can be initiated before a disablingstroke occurs.
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