What are the recommended follow-up protocols for patients diagnosed with TGA in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

The provided UK guideline excerpts do not specify recommended follow-up protocols for patients diagnosed with transient global amnesia (TGA).

However, the guidelines do provide protocols for other transient neurological events:

  • Transient Loss of Consciousness (TLoC): Initial assessment involves gathering detailed information about the event, obtaining patient history, performing a physical examination, and recording a 12-lead electrocardiogram (ECG) . If an ECG abnormality is present (e.g., conduction abnormality, long/short QT interval, ST segment/T wave abnormalities), or if there are other red flags, an urgent cardiovascular assessment by a specialist within 24 hours is required . General advice on driving eligibility and health and safety at work should also be provided to people who have experienced TLoC .
  • Transient Ischaemic Attack (TIA): For suspected TIA, patients should be offered aspirin (300 mg daily) immediately, unless contraindicated . An immediate referral for specialist assessment and investigation is required, with the patient seen within 24 hours of symptom onset . Secondary prevention measures should be offered as soon as the TIA diagnosis is confirmed .

Related Knowledge Topics

Educational content only. Always verify information and use clinical judgement.