Notice:
- Immediately call 911! (Call number 112)
- Any transient ischemic attack (TIA) – even after rapid complete remission of symptoms – represents an emergency situation because it is associated with a high risk of recurrence (recurrence of the disease).
- The risk of apoplexy (stroke risk) is quite relevant in the first days after a TIA with 3%; every third apoplexy announces itself beforehand by one or more TIAs.
General measures
- Nicotine restriction (refraining from tobacco use).
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
- Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program.
- Review of permanent medication due topossible effect on the existing disease.
- Avoidance of substance abuse:
- Heroin, amphetamines or cocaine.
- Avoidance of psychosocial stress:
- Chronic stress
- Hostility
Notes on fitness to drive after a TIA
Group 1 | Group 2 | |
Low risk profile, cause treated | Yes | Yes |
Grace period | 1 month | 3 months |
High risk profile (ABCD2 > 6) | Yes | Yes |
Grace period | 3 months | 6 months |
Legend
- Group 1: passenger cars, trucks up to 3.5 t, passenger cars plus trucks up to 3.5 t.
- Group 2: buses, trucks > 3.5 t, buses + trucks > 3.5 t
- ABCD2 score: scoring system that can be used to assess the risk of stroke after transient ischemic attack (TIA).
Vaccinations
The following vaccinations are advised:
- Flu vaccination
- Pneumococcal vaccination
Regular checkups
- Regular medical checkups
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (cereals and cereal products (oats and barley products), whole grains, legumes, pectin-rich fruits such as apples, pears and berries).
- Observance of the following special dietary recommendations:
- For overweight TIA patients, weight loss is the primary goal. The diet should be energy-reduced, low in fat as well as high in fiber and high in vitamins, minerals and trace elements.
- Selection of suitable food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance training (cardio training).
- After TIA or stenosis-related apoplexy (stroke), myocardial infarction (heart attack), apoplexy (stroke), or vascular-related death occur 5.4-fold more frequently in sluggish patients than in moderately physically active patients; in ischemic apoplexy, even 7-fold increased rate for recurrence of apoplexy in physically sluggish participants.
- Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Psychotherapy
- Stress management, if necessary
- Detailed information on psychosomatics (including stress management) is available from us.