Outpatient management of transient ischaemic attack
| Autor: | Leonard L.L. Yeo, Derek Soon, Victor Weng Keong Loh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Referral Infarction 030204 cardiovascular system & hematology 03 medical and health sciences Plasminogen Activators 0302 clinical medicine Neuroimaging Patient Education as Topic Risk Factors Intervention (counseling) Practice Integration & Lifelong Learning Outpatients medicine Humans cardiovascular diseases Medical prescription Medical History Taking Stroke Referral and Consultation Cause of death Singapore business.industry General Medicine medicine.disease Ischemic Attack Transient Emergency medicine Medical emergency Clinical Competence business Outpatient management 030217 neurology & neurosurgery |
| Popis: | Stroke is a significant cause of death and disability in Singapore; in 2014, it was the fourth most common cause of death. Transient ischaemic attack (TIA) is defined as a transient episode of neurological dysfunction caused by focal brain, spinal cord or retinal ischaemia without evidence of acute infarction. The diagnosis of TIA/acute stroke needs to be considered in all patients who present with sudden focal neurological dysfunction. Prompt referral for assessment, neuroimaging and intervention provides the best chance for neurological recovery and/or minimising further neurological damage. Primary care physicians have a crucial role in TIA/stroke prevention and management. This includes referring patients with suspected acute TIA/stroke to hospitals with stroke treatment facilities immediately; managing the modifiable risk factors of cerebral ischaemia; continuing prescription of antiplatelet agents and/or anticoagulation where indicated; and teaching patients to recognise and respond to suspected cerebral ischaemia using the FAST (face, arm, speech, time) acronym. |
| Databáze: | OpenAIRE |
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