Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events

Harsh V Gupta,1 Ann M Farrell,2 Manoj K Mittal31Department of Neurology, The University of Arkansas Medical Sciences, Little Rock, AR, 2Department of Knowledge and Evaluation Research, Mayo Clinic, Rochester, MN, 3Department of Neurology, The University of Kansas Medical Center, Kansas City, KS, USA...

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Main Authors: Gupta HV, Farrell AM, Mittal MK
Format: Article
Language:English
Published: Dove Medical Press 2014-01-01
Series:Therapeutics and Clinical Risk Management
Online Access:http://www.dovepress.com/transient-ischemic-attacks-predictability-of-future-ischemic-stroke-or-a15454
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author Gupta HV
Farrell AM
Mittal MK
author_facet Gupta HV
Farrell AM
Mittal MK
author_sort Gupta HV
collection DOAJ
description Harsh V Gupta,1 Ann M Farrell,2 Manoj K Mittal31Department of Neurology, The University of Arkansas Medical Sciences, Little Rock, AR, 2Department of Knowledge and Evaluation Research, Mayo Clinic, Rochester, MN, 3Department of Neurology, The University of Kansas Medical Center, Kansas City, KS, USAAbstract: The short-term risk of an ischemic stroke after a transient ischemic attack (TIA) is estimated to be approximately 3%–10% at 2 days, 5% at 7 days, and 9%–17% at 90 days, depending on active or passive ascertainment of ischemic stroke. Various risk prediction scores are available to identify high-risk patients. We present here a pragmatic review of the literature discussing the main scoring systems. We also provide the sensitivity, specificity, positive predictive value, and negative predictive value for each scoring system. Our review shows that scoring systems including brain imaging and vascular imaging are better at risk prediction than scores that do not include this information.Keywords: ischemic stroke, transient ischemic attack, prediction, systematic review
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spelling doaj.art-c47ec31549674e6a88bd24e3f9120e6c2022-12-21T17:16:11ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2014-01-012014default273515454Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack eventsGupta HVFarrell AMMittal MKHarsh V Gupta,1 Ann M Farrell,2 Manoj K Mittal31Department of Neurology, The University of Arkansas Medical Sciences, Little Rock, AR, 2Department of Knowledge and Evaluation Research, Mayo Clinic, Rochester, MN, 3Department of Neurology, The University of Kansas Medical Center, Kansas City, KS, USAAbstract: The short-term risk of an ischemic stroke after a transient ischemic attack (TIA) is estimated to be approximately 3%–10% at 2 days, 5% at 7 days, and 9%–17% at 90 days, depending on active or passive ascertainment of ischemic stroke. Various risk prediction scores are available to identify high-risk patients. We present here a pragmatic review of the literature discussing the main scoring systems. We also provide the sensitivity, specificity, positive predictive value, and negative predictive value for each scoring system. Our review shows that scoring systems including brain imaging and vascular imaging are better at risk prediction than scores that do not include this information.Keywords: ischemic stroke, transient ischemic attack, prediction, systematic reviewhttp://www.dovepress.com/transient-ischemic-attacks-predictability-of-future-ischemic-stroke-or-a15454
spellingShingle Gupta HV
Farrell AM
Mittal MK
Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events
Therapeutics and Clinical Risk Management
title Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events
title_full Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events
title_fullStr Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events
title_full_unstemmed Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events
title_short Transient ischemic attacks: predictability of future ischemic stroke or transient ischemic attack events
title_sort transient ischemic attacks predictability of future ischemic stroke or transient ischemic attack events
url http://www.dovepress.com/transient-ischemic-attacks-predictability-of-future-ischemic-stroke-or-a15454
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AT farrellam transientischemicattackspredictabilityoffutureischemicstrokeortransientischemicattackevents
AT mittalmk transientischemicattackspredictabilityoffutureischemicstrokeortransientischemicattackevents