UMEM Educational Pearls

Title: How likely are TIA pts to develop a stroke?

Category: Neurology

Keywords: CVA, TIA, prediction, one year (PubMed Search)

Posted: 5/21/2025 by Robert Flint, MD (Updated: 6/17/2025)
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How likely is your TIA pt to go on to have a stroke? This study in JAMA gives us some answers. While EM providers aren’t as interested in 5 and 10 year prediction, it provides more evidence TIAs need to be evaluated and are risk factors for future events.

“In this systematic review and meta-analysis of 171?068 patients with TIA or minor stroke from 38 studies, the risk of subsequent stroke was 5.9% within 1 year, 12.8% within 5 years, and 19.8% within 10 years.”

References

Long-Term Risk of Stroke After Transient Ischemic Attack or Minor StrokeA Systematic Review and Meta-Analysis

Writing Committee for the PERSIST Collaborators

JAMA. 2025;333(17):1508-1519. doi:10.1001/jama.2025.2033