Medical treatment is centered on reducing as many risk factors as possible, such as quitting smoking, control of hypertension and diabetes, and reducing cholesterol. Patients may be prescribed antiplatelet medications (drugs that discourage plaque formation by preventing platelets from sticking together). Aspirin is by far the most commonly used antiplatelet drug. Other similar medications include clopidogrel (Plavix), ticopidine (Ticlid) and a combination of aspirin and dipyridamole (Aggrenox). Some patients may benefit from a combination of these drugs, depending on the presence of other medical conditions such as blocked arteries in the heart or legs. If a patient is determined to have an abnormal heart (such as a weak heart muscle) or rhythm disturbances (such as atrial fibrillation), they may need to use a blood thinner such as coumadin. In other patients, abnormal openings in the heart may allow clots to abnormally pass through to the brain. In such patients heart surgery may be able to reduce the risk of future TIA or stroke. If a patient is determined to have abnormal clotting of the blood (such as with some hereditary clotting disorders), they too may need coumadin or other blood thinners. Prevention of Transient Ischemic Attack (TIA)One way to prevent TIAs is to adopt the same strategies that reduce the likelihood of stroke. By far, the most effective measure is to keep blood pressure controlled, since high blood pressure promotes atherosclerosis. Even borderline hypertension (130 to 139 mm Hg/85 to 89 mm Hg) increases risk of TIA and stroke.Recommendations include trying to:
Questions To Ask Your Doctor About Transient Ischemic Attack (TIA)How serious is a TIA?Is there significant atherosclerosis? Is there a risk of a stroke? Will you prescribe an antihypertensive drug? Should aspirin be taken? What changes in lifestyle are necessary? Is surgery necessary? |
I would also, if they haven't already, have an ultra sound of your carotid neck arteries..if they are clogged it can cause TIA or a full blown stroke..better be safe than sorry.
Take care,
Snoozy