[Summary of the practice guideline 'TIA' (first revision) from the Dutch College of General Practitioners].
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.
Wiersma
T J
TJ
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Postbus 3231, 3502 GE Utrecht. t.wiersma@nhg-nl.org
van Binsbergen
J J
JJ
Verhoeven
S
S
van Bentum
S T B
ST
Goudswaard
A N
AN
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'
D005343:Fibrinolytic Agents; D004176:Dipyridamole; D001241:Aspirin