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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