· None of the current short term risk stratification tools for TIA perform well enough to identify patients for outpatient versus pre-discharge work-up.
· Large artery atherosclerosis (usually carotid bifurcation stenosis) accounts for the largest proportion of early strokes after TIA.
· Based on the CHANCE trial, the combination of ASA/Clopidogrel urgently after TIA appears more beneficial than ASA alone, but this strategy remains unproven in US.
· Ambulatory or continuous cardiac telemetry for days to months after TIA or minor stroke detects A-Fib significantly more frequently than conventional A-Fib evaluation methods.
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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203