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Transient ischaemic attack

Ischaemia cerebri transitoria · Tranzitorní ischemická ataka (TIA)

What it is

Stroke symptoms that clear, usually within an hour, and leave no damage on a scan — a warning shot before the real thing.

Symptoms & signs

  • Brief weakness
  • brief speech loss
  • fleeting blindness in one eye (amaurosis fugax)

🚩 Get help if…

  • call 112 / 911 now Symptoms that are still there — treat it as a stroke and call now
  • call 112 / 911 now A second episode of weakness, speech or vision loss
  • see a doctor soon Any stroke-like episode that has already cleared — be seen within 24 hours
  • see a doctor soon Sudden blindness in one eye, even if it came back

Where it strikes

Medical treatment

  • Urgent clinic within 24 h
  • dual antiplatelets 21 days
  • statin
  • carotid imaging and surgery if narrowed

Natural & lifestyle

  • Blood-pressure diary
  • weight loss
  • stop smoking
  • exercise

Emerging & experimental

  • Wearable AF detection
  • PCSK9 inhibitors early

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Omega-3 for prevention — trials disagree mixed evidence
  • Ginkgo biloba — did not prevent strokes in a large trial (GEM) not confirmed in trials

ICD codes