Brain, nerves & mind
The mini-stroke passed — why go to hospital now?
Symptoms vanishing in minutes doesn’t mean safety — the first week after a TIA carries the highest stroke risk.
- 1TIAregistry (4,789 people): stroke after TIA at 2 days 1.5%, 7 days 2.1%, 90 days 3.7%, 1 year 5.1%
- 2That’s with urgent specialist care; in the 1990s without it, 90-day risk was 12–20%
- 3CHANCE trial: dual antiplatelets started within 24 h cut 90-day stroke from 11.7% to 8.2%
- 422% of recurrent strokes occurred in people with “low-risk” scores
- 5At assessment 5% had new atrial fibrillation, 15.5% carotid stenosis — both treatable now
- 6Remember FAST: Face, Arm, Speech, Time
Stroke risk in CKD is 1.5–3× the general population. Even if symptoms are gone, call emergency services.
Caption (ready to paste)
Symptoms vanishing in minutes doesn’t mean safety — the first week after a TIA carries the highest stroke risk. 1. TIAregistry (4,789 people): stroke after TIA at 2 days 1.5%, 7 days 2.1%, 90 days 3.7%, 1 year 5.1% 2. That’s with urgent specialist care; in the 1990s without it, 90-day risk was 12–20% 3. CHANCE trial: dual antiplatelets started within 24 h cut 90-day stroke from 11.7% to 8.2% 4. 22% of recurrent strokes occurred in people with “low-risk” scores 5. At assessment 5% had new atrial fibrillation, 15.5% carotid stenosis — both treatable now 6. Remember FAST: Face, Arm, Speech, Time Stroke risk in CKD is 1.5–3× the general population. Even if symptoms are gone, call emergency services. Sources: Amarenco P et al. TIAregistry.org — N Engl J Med 2016; Wang Y et al. CHANCE — N Engl J Med 2013 Verified: 2026-10-17 Cards and scripts are general health education compiled from public clinical guidelines. They are not individual medical advice and do not replace assessment by your doctor, pharmacist or dietitian. Please keep the sources and this notice when sharing; this page holds the latest version. https://beyondckd.com/en/cards/tia-first-week-risk
60-second short-video script
Shot list and voice-over. Vertical 9:16; put captions in the lower third. Every line maps to the sources on the left.
| sec | Screen | Voice-over |
|---|---|---|
| 0–5 | Clock ticking | Numb hand, drooping face, gone in minutes — all clear? |
| 5–25 | Risk curve 2 days → 1 year | Registry of 4,789 people: 1.5% at two days, 2.1% at a week, 5.1% at a year. Over 40% of strokes happen in week one. |
| 25–45 | CHANCE 11.7 → 8.2 | Treatment within 24 hours cut 90-day stroke from 11.7% to 8.2%. Waiting means giving that up. |
| 45–60 | FAST grid | Face, Arm, Speech — note the Time and call emergency services, even if symptoms have gone. |
Sources (every point on the card maps to one)
Verified: 2026-10-17