Optimising secondary prevention in the acute period following a TIA of ischaemic origin

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Abstract

Background: Transient ischaemic attacks (TIAs) are highly prevalent conditions, with at least 46 000 people per year in the UK having a TIA for the first time. TIAs are a warning that the patient is at risk of further vascular events and the 90-day risk of vascular events following a TIA, excluding events within the first week after diagnosis when the risk is highest, can be as high as 18%. Immediate assessment of patients with TIA, either at accident and emergency, general practice and/ or TIA clinics, is therefore required to address secondary prevention and prevent further vascular events. Discussion: This article addresses the need for optimising secondary prevention in the acute period following a TIA of ischaemic origin to reduce the risk of further vascular events as per recent Cochrane review advice and presents a novel project, Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE), to do this. Summary: One novel way to tackle vascular risk factors and promote secondary prevention in patients with TIA could be to adapt a cardiac rehabilitation programme for these patients. SPRITE, a feasibility and pilot study (ClinicalTrials.gov Identifier: NCT02712385) funded by the National Institute for Health Research, is attempting to adapt a home-based cardiac rehabilitation programme, ‘The Healthy Brain Rehabilitation Manual’, for use in the acute period following a TIA. The use of cardiac rehabilitation programmes post-TIA requires further research, particularly within the primary care setting
Original languageUndefined/Unknown
Article numbere000161
Number of pages4
JournalBMJ Open Sport & Exercise Medicine
DOIs
Publication statusPublished - 06 Jan 2017

Student Theses

Stroke Prevention Rehabilitation Intervention Trial of Exercise (SPRITE): A Randomised Feasibility and Pilot Study

Author: Heron, N., Jul 2018

Supervisor: Donnelly, M. (Supervisor), Kee, F. (Supervisor), Mant, J. (External person) (Supervisor) & Cupples, M. (Supervisor)

Student thesis: Doctoral ThesisDoctor of Philosophy

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