| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Department of Neurology and Surgery. The Bowman Grav School of Medicine Wake Forest University, Winston Salem. North Carolina.
Between the years 1964 and 1973, 225 patients with transient ischemic attacks (TIAs) due primarily to atherosclerosis were evaluated and treated. They have now been followed for from 3 to 14 years (average 5.5 years). As of 1976, 82 of the 225 patients were dead, 21 from cerebral infarction, 52 from heart disease and nine from other causes. Of the 56 untreated patients, 11 (19 percent) had cerebral infarctions, four (7 percent) of which were fatal; six (11 percent) were still having TIAs. Of the 45 patients medically treated, 10 (24 percent) had cerebral infarctions, three (7 percent) of which were fatal; 11 (25 percent) still experienced TIAs. In the surgical group of 124, 27 (21 percent) had postoperative. cerebral infarctions, seven (6 percent) of which were fatal; 23 (18 percent) had cerebral infarctions during follow-up, of which seven (6 percent) were fatal; and 15 (12 percent) were still having TIAs. No statistically significant differences (p · 0.05) related to cerebral infarction or TIAs developed among the three groups. The majority (23 percent) eventually succumbed to myocardial infarction, leading us to conclude that great emphasis must be placed upon TIAs as a warning for cardiac as well as cerebrovascular disease.
Dr Tout's address is Department of Neurology. The Bowmar, Gray School of Medicine Wake Forest University, Winston-Salem, NO 27103.
This study was supported by United States Public Health Service Grant NS06655.
Accepted for publication June 2 1978.
This article has been cited by other articles:
|
|
 |
|
  E. Flossmann and P. M. Rothwell Prognosis of vertebrobasilar transient ischaemic attack and minor stroke Brain, September 1, 2003; 126(9): 1940 - 1954. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Elkins, S. Sidney, D. R. Gress, A. S. Go, A. L. Bernstein, and S. C. Johnston Electrocardiographic Findings Predict Short-term Cardiac Morbidity After Transient Ischemic Attack Arch Neurol, September 1, 2002; 59(9): 1437 - 1441. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Joubert, C. A. McLean, C. M. Reid, D. Davel, W. Pilloy, R. Delport, L. Steyn, and A. R. P. Walker Ischemic Heart Disease in Black South African Stroke Patients Stroke, June 1, 2000; 31(6): 1294 - 1298. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. W. Albers Choice of endpoints in antiplatelet trials: Which outcomes are most relevant to stroke patients? Neurology, March 14, 2000; 54(5): 1022 - 1028. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Uehara, M. Tabuchi, T. Hayashi, H. Kurogane, and A. Yamadori Asymptomatic Occlusive Lesions of Carotid and Intracranial Arteries in Japanese Patients With Ischemic Heart Disease : Evaluation by Brain Magnetic Resonance Angiography Stroke, March 1, 1996; 27(3): 393 - 397. [Abstract] [Full Text]
|
|
|
|
 |
|
 A. Visona, R. Pesavento, L. Lusiani, A. Bonanome, C. Cernetti, M. Rossi, P. Maiolino, and A. Pagnan Intimal Medial Thickening of Common Carotid Artery as Indicator of Coronary Artery Disease Angiology, January 1, 1996; 47(1): 61 - 66. [Abstract] [PDF]
|
|
|
|
 |
|
 J. F. Rothrock, P. Lyden, J. Yee, and W.C. Wiederholt Unstable Carotid Artery Syndrome: Clinical Management, Risks and Outcome Vascular and Endovascular Surgery, July 1, 1987; 21(4): 248 - 256. [Abstract] [PDF]
|
|
|
|
|
|
W. R. Slade JR, S. Enker, R. Borras, and Jia Rhon Chen The Underlying Problems Resulting in Controversies in the Clinical Management of Transient Ischemic Attacks: An Overview Angiology, October 1, 1983; 34(10): 639 - 645. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
