Guidelines for Investigation and Management of Transient Ischaemic Attack
In a standardised cohort of 500,000 patients 490 Transient Ischaemic Attacks (TIA) or minor strokes will occur per annum. This equates to 1666 per annum in Northern Ireland.
A TIA is the only warning we have that a stroke may be imminent and precedes ischaemic stroke in 15-26% of patients. It allows us an opportunity to intervene to help prevent a more damaging ischaemic stroke. The window of opportunity to do this effectively is small and requires such patients to have stroke specialist assessment rapidly.
This guideline outlines the key actions required, both medically and surgically, to manage such patients and reduce the risk of cerebrovascular and cardiovascular disease both in the short and long term. Much of this guideline equally applies to patients with non-disabling ischaemic stroke who are also at high risk of recurrence.
Under the auspices of CREST, an expert panel was convened to review the evidence for TIA. The panel included health care professionals from varied backgrounds including medical (primary and secondary care), nursing, management and public health and was chaired by Dr Michael Power.
The CREST guidelines for Investigation and Management of Transient Ischaemic Attack were launched at a half-day conference, on Wednesday 11th October 2006, at the Tullyglass House Hotel, Ballymena. Approximately 200 delegates from the various specialties involved in the management of TIA, including the public and private sectors, attended the conference.
CREST would like to thank Dr Michael Power, the members of the sub-group and all those who contributed in any way to the development of these guidelines. Further copies of the guidelines and Charts can be obtained from the CREST Secretariat at crest@dhsspsni.gov.uk or gary.hannan@dhsspsni.gov.uk.
Guidelines
Accompying Charts
- CREST Summary of Management of Transient Ischaemic Attack (TIA) in Primary Care (PDF 41 KB)
- Flowchart Outlining Early TIA Management (PDF 213 KB)
- TIA Clinical Referral Form (PDF 165 KB)
Guidelines for the Investigation and Management of Transient Ischaemic Attack Speakers Presentations
- Transient Ischaemic Attack (TIA) - An Unstable Medical Condition (PDF 1321 KB)
- Service Organisation for TIA (PDF 2271 KB)
- The Role of Neuroimaging in Diagnosis of TIA (PDF 1858 KB)
- Vascular Surgery Following TIA (PDF 1865 KB)
- Transient Ischaemic Attacks - Prevention in General Practice (PDF 681KB)
- Specialist Stroke Nursing in Northern Ireland (PDF 410 KB)
