Transient Ischaemic Attack (TIA)

This information is aimed at professionals supporting stroke survivors in the region.

 

National guidelines

The NICE Guideline Stroke and transient ischaemic attack in over 16s: diagnosis and initial management NG128 was updated in 2019  and now recommends:

1.1.4 Offer aspirin (300 mg daily), unless contraindicated, to people who have had a suspected TIA, to be started immediately

1.1.5 Refer immediately people who have had a suspected TIA for specialist assessment and investigation, to be seen within 24 hours of onset of symptoms

1.1.6 Do not use scoring systems, such as ABCD2, to assess risk of subsequent stroke or to inform urgency of referral for people who have had a suspected or confirmed TIA

1.1.7 Offer secondary prevention, in addition to aspirin, as soon as possible after the diagnosis of TIA is confirmed

The RCP Clinical Guideline for Stroke 2016 updated its advice to remove risk stratification:

  • Patients with acute neurological symptoms that resolve completely within 24 hours (i.e. suspected TIA) should be given aspirin 300 mg immediately and assessed urgently within 24 hours by a specialist physician in a neurovascular clinic or an acute stroke unit.
  • Patients with suspected TIA that occurred more than a week previously should be assessed by a specialist physician as soon as possible within 7 days.

 

Greater Manchester TIA Services

All of our nine stroke units offer TIA services but only a few are currently able to assess all patients within 24 hours. We are working towards 7 day services. You can download contact details for referrals for our stroke teams here.

 

Useful resources

Not just a funny turn patient information leaflet plain English version 1

Not just a funny turn patient information leaflet aphasia version 1

Stroke Association TIA information for patients

DVLA Guidance on driving for stroke & TIA