It is not only possible but also likely in selected patients, such as those with atrial arrhythmias ( atrial fibrillation), atrial septal defects, poor venticular function (secondary to LV clots), atherosclerotic aortic disease, or low flow states resulting from some valvular diseases. For this reason most people with documented TIAs/CVAs need a surface echocardiogram, and some may even benefit from a trans esophageal echocardiogram depending on the surface echo findings.
A related discussion,
what is tia was started.
Hi, I need some help. I had a mri done in 2005 , which had a negative findings. In 2006 my second mri showed that i had central pontine lesions with several cerebral white matter and basal ganglia. My blood work i just had done showed that my coagulation was PT 09.6, INR 0.88, APTT 27. General chemistry showed BILI D 0.0 my lipids were Chol 208 HDL 89 TRIG 93 LD LIPO 100. My general Hematology RDW were slightly low 10.8 The first neuro said i had a stroke. The fingings do not add up. Went to him because i have numbness in my left arm and left side of my face and my right toes which does not go away. I have headaches, dizziness, shortness of breath I am fatigue all the time more extreme when it is hot outside. The numbness still comes and goes threw out my body i am scared that it will become permant too. I also, had ekg done in 2006 the doctor said he saw some vegetation or maybe a thrombsis in my right chamber of my heart. The same doctor who read the report said this is what he saw so i saw him again in his office for another ekg which was ok then. He wanted to do a scope down my throat but i was really scared. I will never really no what the echo read. It sounds like i had stroke but why do i still get the numbness tingling and burning sensation all over. Why am i still so fatigue. My blood pressure usally runs low like 90/60 or so unless i have a bad headach. How can i get my cholestrol down to good numbers. The past few months my left eye hurts when i turn it to the left and right up and down another sympton to worry about. All my symptons gradually came on, over time. Is it possible to have more than one disease at a time.
Just curious, did anyone ever discuss occipital migraines? It can cause you to either loose your vision temporarily, or even just have either cloudy sort of vision or experience prysiams. You do not neccessarily need to have a headache and often do not. The good thing is that thesse are usually transient.
I had an incident where I lost partial vision in my left eye for just seconds, then it went away. It came down like a gray curtain and lifted the same way. Just a few seconds. I didn't think much of it until someone else mentioned that it could have been a TIA. I phoned my PCP, who seemed less than interested, and my cardiologist simply stated that it wasn't cardiovascular, it was probably nothing. I'm going to an opthalmologist next week, just to make sure there's nothing wrong with my eyes, but I'm rather scared.
I get angina, but nuclear stress test and echocardiogram performed last summer were more or less negative (minor valve prolapse, nothing to worry about). Normally my angina is just pressure for no apparent reason (comes and goes for a few hours) but I've had a few very scary incidents over the past couple of months, severe angina, at times waking me up at night and too afraid to move even to get my nitroglycerin. My cardiologist doesn't seem to think much of any of it, put me on a CCB a month before all these scary events occurred. My cholesterol is 213, but my ratio was good, so no problem there. My BP occasionally peaks rather high when stressed (as high as 183/92) but is mostly normal 117/78ish. I'm 49, not overweight, don't smoke, occasionally one drink, watch what I eat. My only risk factor was that I was too sedentary, no immediate family history of early heart disease.
Do I really need to worry about any of this, or can I just get on with my life?
Thank you for your reply. Would these result in any specific type of TIA? How about a transient monocular blindness of short duration (less than 5 seconds)? What would be the recommended timeframe for treatment, post incident?