STROKE

Question 1

What are the three features of a high risk TIA per the 2018 guidelines?

Answer 1

As recognized in the latest iteration of the Canadian Heart and Stroke Guideline from 2018, the most important prognostic feature of the ABCD2 score appears to be the Clinical features:

“Very High Risk for Recurrent Stroke (Symptom onset within last 48 Hours):

Transient, fluctuating or persistent unilateral weakness (face, arm and/or leg);
Transient, fluctuating or persistent language/speech disturbance;
And/or fluctuating or persistent symptoms without motor weakness or language/speech disturbance (e.g. hemibody sensory symptoms, monocular vision loss, hemifield vision loss, +/- other symptoms suggestive of posterior circulation stroke such as binocular diplopia, dysarthria, dysphagia, ataxia).”

Question 2

Outline the Canadian TIA score

Answer 2

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