Mini-Strokes May Spell Big Trouble

DECEMBER 01, 2005
Mini-Strokes May Spell Big Trouble

British researchers have devised a scoring system to predict which patients experiencing probable or definite transient ischemic attacks (TIAs) are at highest risk for stroke within 7 days. The "ABCD score" gives patients higher numbers of points based on age, blood pressure, clinical features of unilateral weakness or speech disturbance without weakness, and duration of symptoms. Points are awarded as follows: age >60 years, blood pressure >140/90 mm Hg, speech disturbance without weakness, and symptoms lasting 10 to 59 minutes each merit 1 point; unilateral weakness and symptoms lasting more than 60 minutes each get 2 points. Only 0.4% of patients with scores lower than 5 experienced a stroke within 7 days, while 31.4% of patients with the maximum score of 6 had a stroke. Based on these results, the investigators suggested that high-risk patients should be counseled to seek immediate medical attention if TIA symptoms appear.

Dr. Garrett is a clinical pharmacist practitioner at Cornerstone Health Care in High Point, NC.




SHARE THIS SHARE THIS
0
 

In Seniors: Consider CMV Serostatus
When Recommending Flu Vaccine

Older people who have cytomegalovirus seem to have less robust responses to the trivalent influenza vaccine than those who do not have CMV.


 

 

Conference Coverage
News from the year's biggest meetings


Pharmacist Education
Clinical features with downloadable PDFs


 

SIGN UP FOR THE PHARMACY TIMES NEWSLETTER
Personalize the information you receive by selecting targeted content and special offers.