title: [Summary of the practice guideline 'TIA' (first revision) from the Dutch College of General Practitioners].
abstract: 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.
authors.affiliation: Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Postbus 3231, 3502 GE Utrecht. t.wiersma@nhg-nl.org
authors.forename: T J
authors.initials: TJ
authors.lastname: Wiersma
authors.forename: J J
authors.initials: JJ
authors.lastname: van Binsbergen
authors.forename: S
authors.initials: S
authors.lastname: Verhoeven
authors.forename: S T B
authors.initials: ST
authors.lastname: van Bentum
authors.forename: A N
authors.initials: AN
authors.lastname: Goudswaard
mesh_terms: D001241:Aspirin / Q000627:therapeutic use; D004176:Dipyridamole / Q000009:adverse effects / Q000627:therapeutic use; D005194:Family Practice / Q000592:standards*; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000188:drug therapy*; D008297:Male; D009426:Netherlands; D010821:Physicians, Family; D010818:Practice Patterns, Physicians'
chemical_list: D005343:Fibrinolytic Agents; D004176:Dipyridamole; D001241:Aspirin