Home
Search in�� ��for��
 
Resources
Career Center
New Hospital Update
Learn More About MCI
Bill Payment
Upcoming Events
Find a Physician
Press Releases
Maps and Directions
Visiting Hours
Medical Services
Specialty Programs and Services
Volunteer Services
H2U
Birthing Center Tours
Clinics
Family Care of Eastern Jackson County
Jackson County Medical Group
Family & Friends
Virtual Body
Virtual Cheercards
Web Babies
Decision Tools
Self-Assessment Tools
Natural and Alternative Treatments Main Index
Health Sources
Cancer InDepth
Heart Care Center
HealthDay News
Wellness Centers
Aging and Health
Alternative Health
Sports and Fitness
Food and Nutrition
Men's Health
Mental Health
Kids' and Teens' Health
Healthy Pregnancy
Medications
Travel and Health
Women's Health
Genus MD
Genus MD
Physician Websites
Legal Disclaimers
Nondiscrimination
Privacy Notice



Send This Page To A Friend
Print This Page

Transient Ischemic Attack

(TIA; Mini-Stroke)

Pronounced: trans-EE-ent isk-EE-mik uh-tak

 

Definition

Transient ischemic attack (TIA) is a brief problem of the brain. It is due to a shortage of blood and oxygen. It is also called a mini-stroke.

TIA is a serious problem. It is a warning of a future stroke.

Blood Supply to the Brain

Copyright © Nucleus Medical Media, Inc.

 

Causes    TOP

Blood and oxygen reach the brain through blood vessels in the neck. The blood then passes through blood vessels in the brain. A TIA is when blood flow is too low. It may be due to a narrowing or blockage.

Narrowing may happen with:

  • A build up of plaque, called atherosclerosis
  • Vasculitis—inflammation of the blood vessels

Blood vessels can also become blocked by a clot or clump in the blood. This may be from:

  • A piece blood clot or plaque that has broken off from another site
  • Blood and blood-clotting problems such as:
    • Severe anemia —too few red blood cells
    • Polycythemia —too many red blood cells
    • Hyperviscosity—thickening of the blood
  • Endocarditis —an infection of the lining of the heart
 

Risk Factors    TOP

TIAs are more common in men and older adults.

Some long-term problems can impact your blood vessels. These problems may raise your TIA risk:

TIAs are more common in men than women in younger age groups. They are also more common in people age 45 years or older, with the highest risk between ages 60-80 years. Other factors that increase your chance for TIA include:

 

Symptoms    TOP

TIA symptoms happen quickly. The ones you have depend on the part of the brain that is affected. Symptoms are like those of a stroke. You will need medical care right away.

You may have:

  • Loss of strength
  • Clumsiness
  • Problems seeing, such as blindness in one eye
  • Problems speaking
  • Numbness or tingling
  • A feeling of spinning when you are still
 

Diagnosis    TOP

The doctor will ask about your symptoms and health history. A physical exam will be done. Your doctor will check your blood pressure and nervous system. The main goal of tests or questions will be to find out your stroke risk.

You may have:

 

Treatment    TOP

A TIA places you at greater risk of a stroke. The risk is highest in the first week after your TIA. You will need to work to lower your risk. This can be done with lifestyle changes, medicine, and surgery.

Lifestyle

If you smoke, you will have to quit. Talk with your doctor about programs that may help.

People with diabetes, high blood pressure, or high cholesterol must work to manage these problems. It can be done with:

  • Regular exercise under the guidance of your doctor
  • Diet changes—low in saturated fat, and rich in whole grains, fruits, and vegetables
  • Stopping or limiting alcohol intake

Medications

The doctor may also advise medicines to lower blood sugar, blood pressure, and cholesterol. This will help lower these risks.

The doctor may also advise:

  • Medicine, like aspirin, to prevent blood clots
  • Medicine that slows clotting

Surgery    TOP

If you have a blockage in the artery in your neck, you may have:

  • A carotid endarterectomy to remove the plaque deposits
  • Other less invasive procedures, such as intra-arterial stenting to widen an artery

These surgeries have risks. Talk with your doctor about your options.

Treatment of Other Conditions    TOP

If the cause of the TIA is a treatable, it must be treated right away. These are health problems such as:

  • AF
  • Severe anemia
  • Vasculitis
 

Prevention    TOP

To reduce your chance of TIA or stroke:

  • Exercise regularly. Get approval from your doctor first.
  • Eat a healthy, balanced diet. It should be low in saturated fat and rich in whole grains, fruits, and vegetables.
  • Stay at a healthy weight.
  • If you smoke, talk to your doctor about ways you can successfully quit.
  • Drink alcohol in moderation. This means no more than two drinks per day for men and one drink per day for women.
  • Control blood pressure, high cholesterol, and diabetes if you have these health issues.
RESOURCES:

American Heart Association
http://www.heart.org

National Stroke Association
http://www.stroke.org

CANADIAN RESOURCES:

Canadian Society for Vascular Surgery
http://canadianvascular.ca

Heart & Stroke Foundation
http://www.heartandstroke.com

REFERENCES:

Amarenco P, Bogousslavsky J, Callahan A 3rd, et al. High-dose atorvastatin after stroke or transient ischemic attack. N Engl J Med. 2006;355(6):549-559.

Lutsep HL. MATCH results: Implications for the internist. Am J Med. 2006;119(6):526.

Myint PK, Cleark AB, Kwok CS, et al. Bone mineral density and incidence of stroke: European prospective investigation into cancer-norfolk population-based study, systemic review, and meta-analysis. Stroke. 2014;45(2):373-382.

NINDS transient ischemic attack information page. National Institute of Neurological Disorders and Stroke website. Available at: https://www.ninds.nih.gov/Disorders/All-Disorders/Transient-Ischemic-Attack-Information-Page. Accessed June 18, 2018.

Risk factors for stroke or transient ischemic attack. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T361037/Risk-factors-for-stroke-or-transient-ischemic-attack . Updated May 15, 2018. Accessed June 18, 2018.

Sangha RS, Caprio FZ, Askew R, et al. Quality of life in patients with TIA and minor ischemic strokes. Neurology. 2015;85(22):1957-63.

Transient ischemic attack (TIA). EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116640/Transient-ischemic-attack-TIA . Updated June 4, 2018. Accessed June 18, 2018.

6/2/2014 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T361037/Risk-factors-for-stroke-or-transient-ischemic-attack : Imfeld P, Bodmer M, Schuerch M, Jick SS, Meier CR. Risk of incident stroke in patients with Alzheimer disease or vascular dementia. Neurology. 2013;81(10):910-919.



Last reviewed May 2018 by EBSCO Medical Review Board Rimas Lukas, MD
Last Updated: 6/14/2018

Health References
Health Conditions
Therapeutic Centers


Copyright � 1999-2007
ehc.com; All rights reserved.
Terms & Conditions of Use
Privacy Statement
Medical Center of Independence
17203 E. 23rd St.
Independence,� MO� 64057
Telephone: (816) 478-5000