PMID: 9448883Aug 1, 1997Paper

The effect of treating people with reversible ischaemic attacks of the brain and eye on the incidence of stroke in Australia

Australian and New Zealand Journal of Medicine
G J Hankey

Abstract

Reversible ischaemic attacks of the brain or eye (RIA) are a risk factor for stroke. Strategies of stroke prevention include vascular risk factor control, antithrombotic therapy, and carotid surgery. To determine the effectiveness, risks and costs of each stroke prevention strategy for patients with RIA and the Australian community, and the effect of treating people with RIA on the incidence of stroke in Australia. Review of data from prospective community-based studies to determine the prevalence of RIA, the incidence of stroke, and the proportion of stroke patients who report a RIA before their stroke; and data from randomised trials to determine the effectiveness, risks and costs of treatments for RIA. About 111,000 Australians have had a prior RIA. Each year, about 37,000 Australians suffer a stroke, of whom up to 8000 (22%) have had a prior ('warning') RIA. Targeting effective stroke prevention strategies to RIA patients with relevant treatable conditions may reduce the individual's stroke risk by two-thirds (individual strategies) and possibly further (combination strategies). However, because the attributable risk of RIA for stroke is only about 22% (and may be less, given the role of other causal risk factors for stroke...Continue Reading

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Citations

Sep 6, 2005·American Journal of Ophthalmology·Valérie Biousse, Jonathan D Trobe
Aug 19, 2008·International Journal of Stroke : Official Journal of the International Stroke Society·Anne L AbbottBrian R Chambers
Jan 22, 2019·Journal of Ophthalmology·Gilad RabinaShulamit Schwartz

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