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    • Clinical Inquiries, 2006
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    What is the best management for patients who have a TIA while on aspirin therapy?

    Ahmed, Nabila
    Coffey, John B.
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    [PDF] WhatManagementTIA.pdf (71.68Kb)
    Date
    2006
    Format
    Article
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    Abstract
    Alternative antiplatelet therapy for stroke prevention is indicated for patients who experience transient ischemic attacks (TIAs) while on aspirin therapy (strength of recommendation [SOR]: A, based on 1 meta- analysis and 1 randomized controlled trial). The combination of aspirin and extended- release dipyridamole reduces the risk of stroke following a TIA (SOR: A). Thienopyridines (eg, clopidogrel and ticlopidine) are an alternative for patients at high risk for a cardioembolic event. Ticlopidine reduces the risk of stroke following TIA, specifically showing benefit for patients previously on aspirin (SOR: A). Clopidogrel has not shown significant reduction in reoccurrence of stroke and has not been studied for patients with a previous TIA. Aspirin and a thienopyridine do not provide significant additional reduction in secondary strokes (SOR: A).
    URI
    http://hdl.handle.net/10355/3532
    Part of
    Journal of family practice, 55, no. 07 (July 2006): 627-628
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • Clinical Inquiries, 2006

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