Transient ischaemic attack (mini-stroke)
A transient attack (TIA), commonly known as mini-, is a temporary, or transient, stroke with noticeable symptoms that end within 24 hours. A TIA causes the same symptoms of stroke, such as weakness or numbness on one side of the body, sudden dimming or loss of vision, difficulty speaking or understanding language, and slurred speech.
Underlined words are explained — tap any of them.
Outlook
- ·Survival rate 91% (to hospital discharge)
- ·67.2% (five years)
The sections below are general education drawn from public guidelines (NHS, Mayo, CPIC, WHO, ICMR). They are not individually reviewed by a clinician and are not medical advice — always talk to a doctor about your own health.
Genes that change how certain drugs work — and that differ in South Asians. This is education, not a dosing tool; genotype-guided prescribing is a clinician decision.
is a 'switched-off' medicine that your body has to switch on using an called . Many South Asians carry a gene version that makes a weaker enzyme, so the drug never fully turns on and does less to stop dangerous - which is why a doctor may pick a different blood thinner instead.
South Asian signal: The loss-of-function alleles CYP2C19*2 (c.681G>A, rs4244285) and *3 (c.636G>A, rs4986893) are common in South Asians. In a British-South Asian clopidogrel cohort, ~13% were poor metabolisers (two LOF alleles) and ~57% carried at least one LOF allele (intermediate or poor) - higher than European (~2.4% PM) reference (JACC Advances 2023, PMC10550831). CYP2C19*2 allele frequency in South Asians is reported around 30-34% (Ionova et al., Clin Transl Sci 2020).
Prescriber note: In a South Asian ACS/PCI patient, a poor response to clopidogrel is more likely than European data suggest; where CYP2C19 genotype or a validated point-of-care test is available, an intermediate/poor metaboliser result supports switching to prasugrel or ticagrelor rather than escalating clopidogrel. For CYP2C19 intermediate or poor metabolisers with ACS/PCI, CPIC recommends avoiding clopidogrel and using an alternative antiplatelet (e.g. prasugrel or ticagrelor) where not contraindicated, because reduced clopidogrel activation raises the risk of major adverse cardiovascular events.
Not a dosing tool. Genotype-guided prescribing is a clinician decision; genotyping access in India is limited.