What should the focus of medical history in the evaluation of suspected 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

Significant medical history questions to elicit any risk factors for relevant underlying disease include questions about the following:

  • Recent surgery (eg, carotid or cardiac)

  • Previous strokes or TIAs

  • Seizures

  • Systemic or central nervous system (CNS) infections

  • Use of illicit drugs

  • Complete medication regimen, including all over-the-counter medications

  • Comorbidities related to metabolic disorders, especially diabetes

  • Known coagulopathy or family history of early clotting or thrombotic events

  • History of arteritis

  • Noninfectious necrotizing vasculitis, irradiation, and local trauma

  • Thromboembolic risk factors (eg, carotid artery stenosis, venous or arterial thromboembolism, patent foramen ovale or atrial septal defect, atrial fibrillation, prior myocardial infarction, and left ventricular dysfunction)

  • Other known cardiovascular disease

  • History of migraine


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