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半数以上的TIA后的卒中入发生在TIA24小时之内。

吴士文 主任医师 解放军总医院第三医学中心 神经内科
2009-06-06 719人已读
吴士文 主任医师
解放军总医院第三医学中心

 
From Medscape Medical News
Half of Strokes Early After TIA Occur Within 24 Hours

Susan Jeffrey

Authors and Disclosures
Dr. Daniel Mikol discusses the findings from the multicenter REGARD study.Click here.

June 3, 2009 — A new study shows that nearly half of all strokes that occur after a transient ischemic attack (TIA) occur within the first 24 hours, highlighting the need for emergent intervention, the researchers say.解放军总医院第三医学中心神经内科吴士文

The good news is that the ABCD2 score, a validated risk score, was reliable in this hyperacute phase, meaning that "appropriately triaged emergency assessment and treatment are feasible," the researchers, with senior author Peter M. Rothwell, MD, from the Stroke Prevention Research Unit at Oxford University and John Radcliffe Hospital, in the United Kingdom, conclude.

This is the first rigorous population-based study of the risk for recurrent stroke within 24 hours of TIA, Dr. Rothwell told Medscape Neurology. "We found that nearly half of all the strokes that occur within 30 days after a TIA actually occur within those first 24 hours, so unless we intervene more quickly and treat it as a true emergency, rather than a \"see-urgently\" problem, we\"ll miss the opportunity to prevent some of those early recurrent strokes," he said..........................................................................(略)

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