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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does TIA Mean Having Stroke In Near Future?

Do tias always mean u will you will have a stroke in the near future..my husband is 78--in great health..not overweight..doesn t smoke..2drinks a day..blood pressure ..cholesterol under control..prediabeties under control...plays golf everyday..diet consists of oatmeal blueberries..fish. salad vegetable 4 times weekly..green smoothie w/ veg..fruits etc...walks during winter...had a tia a month ago according to the dr..with no damage..from what I read u always have a stroke within a year..help he has always done the right thing. An aspirin a day..
Wed, 1 Jul 2015
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Neurologist 's  Response
I read your question carefully and I understand your concern.

While TIA does confer a greater risk of stroke, it is not true that you are necessarily going to have one, greater risk doesn't mean something is going to happen. Furthermore if the source of the TIA is identified and addressed, that possibility is lowered even more. What he seems to have done is very good, Aspirin itself lowers the risk of stroke. At times when it is considered to be due to atherosclerosis of big vessels a statin is added as well as statin benefits go beyond the lipid lowering effect.
Also a cardiac origin must be investigated and if found anticoagulants which are more appropriate than aspirin may be considered.

I hope things work out for the best.
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Does TIA Mean Having Stroke In Near Future?

I read your question carefully and I understand your concern. While TIA does confer a greater risk of stroke, it is not true that you are necessarily going to have one, greater risk doesn t mean something is going to happen. Furthermore if the source of the TIA is identified and addressed, that possibility is lowered even more. What he seems to have done is very good, Aspirin itself lowers the risk of stroke. At times when it is considered to be due to atherosclerosis of big vessels a statin is added as well as statin benefits go beyond the lipid lowering effect. Also a cardiac origin must be investigated and if found anticoagulants which are more appropriate than aspirin may be considered. I hope things work out for the best.