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Summary of the practice guideline 'TIA' (first revision) from the Dutch College of General Practitioners

Wiersma, T.J.; van Binsbergen, J.J.; Verhoeven, S.; van Bentum, S.T.B.; Goudswaard, A.N.

Nederlands Tijdschrift Voor Geneeskunde 149(7): 343-348

2005

ISSN/ISBN: 0028-2162
PMID: 15751806
Document Number: 590379
The new practice guideline of the Dutch College of General Practitioners on the management of patients with a TIA resembles the first version, but there are some important changes: The concept TIA has been narrowed to a neurological deficit that has resolved spontaneously by the time the patient consults the doctor. The indications for referral of patients with a TIA in the area supplied by the carotid artery for investigation of a possible carotid stenosis and carotid surgery have been broadened. Auscultation of the internal carotid artery is no longer necessary. The daily amount of acetylsalicylic acid to be taken by a patient with a TIA has been increased from 30 mg to 80 mg. The prescription of dipyridamol following a TIA remains controversial.

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