When is inpatient care indicated for transient ischemic attack (TIA)?

Updated: Dec 03, 2018
  • Author: Ashish Nanda, MD; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

For patients with a recent (≤1 week) TIA, guidelines recommend a timely hospital referral with hospitalization for the following:

  • Crescendo TIAs

  • Duration of symptoms longer than 1 hour

  • Symptomatic internal carotid stenosis greater than 50%

  • Known cardiac source of embolus (eg, atrial fibrillation)

  • Known hypercoagulable state

  • Appropriate combination of the California score or ABCD score (category 4) [6]


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