Question

A 69-year-old man presents with a 30-minute episode of left arm weakness and slurred speech that completely resolved. BP is 150/88 mmHg, there is no atrial fibrillation and CT brain is normal. You diagnose a transient ischaemic attack (TIA). What is the most appropriate immediate management?

Accepted Answer

Start aspirin and refer for urgent specialist assessment within 24 hours

Answer

Reassure and arrange review in 4 weeks

Answer

Start warfarin immediately

Answer

Delay antiplatelet therapy until carotid imaging is available

Answer

No treatment is required if symptoms have resolved

Practice question

A 69-year-old man presents with a 30-minute episode of left arm weakness and slurred speech that completely resolved. BP is 150/88 mmHg, there is no atrial fibrillation and CT brain is normal. You diagnose a transient ischaemic attack (TIA). What is the most appropriate immediate management?