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<< Transient Ischemic Attack: An Evidence-Based Update (Stroke CME)

Treatment

Once the diagnosis of TIA is suspected, the immediate treatment objectives are to optimize cerebral perfusion and prevent stroke. (See Table 11.) Consider the following treatment strategies: (1) Keep the head of the bed flat. This has been shown to increase cerebral perfusion by 20%, compared to a 30° incline.123 Patients may find this uncomfortable or intolerable, but it is a reasonable consideration during the first 24 hours if cerebral perfusion is thought to be at risk.

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