A quick guide to transient ischaemic attacks (TIA)

By Published On: 10 November 2021

A transient ischaemic attack (TIA) or mini-stroke occurs when a blood clot disrupts blood flow to the brain, starving it of oxygen.

TIA has the same symptoms of a stroke, but they will pass much quicker. The effects will last anywhere from a few minutes to a few hours.

But while a TIA is less dangerous than a stroke, it should be taken just as seriously.

Who is affected

A first-ever TIA affects approximately 50 people per 100,000 of the UK population each year.

The condition is increasingly common with age and rarely affects under-60s.

Men the black community are at a greater risk than the rest of the population.

Common risk factors include:

  • Hypertension
  • Diabetes
  • Smoking
  • Heart disease
  • Obesity
  • High cholesterol

Symptoms

The main symptoms of a TIA can be remembered using the word FAST:

FACE: The face may have drooped to one side or the person may be unable to smile properly;

ARMS: The person may be unable to keep both of their arms raised due to weakness on one side;

SPEECH: Their speech may be slowed or garbled or they may struggle to speak at all. They may also have trouble understanding you;

TIME: Call 999 straight away to request an ambulance

Assessment and treatment

If a TIA is suspected, you will be offered an aspirin as this will prevent a ‘full’ stroke.

You should be referred to see a specialist within 24 hours of the onset of your symptoms.

Your appointment will either take place at a specialist TIA clinic or in a hospital stroke unit.

You will likely undergo a brain scan, as well as tests for blood pressure, high cholesterol and diabetes.

Preventative measures

A TIA is the result of a temporary blood clot in the brain. To prevent this from happening again, you will be offered a blood-thinning medication.

You could also be given either anti-platelet or anticoagulant medication depending on the source of the clot.

You can reduce your risk of experiencing a first or recurrent TIA by:

  • Eating healthily
  • Doing regular exercise
  • Limiting alcohol and avoiding tobacco
  • Maintaining a healthy weight

More advice on transient ischaemic attacks can be found online via the NHS and Stroke Association.

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