TIA's and anti-coagulants

Hi, not really related to AF but hope you don't mind me asking this question. My mother-in-law has had what seems clearly to be a TIA, she could not speak (for some minutes I believe). This happened a few weeks ago. She has high blood pressure and takes pills for this, and her BP is being controlled. She went with my wife to the GP about the TIA, who said that the risk of a stroke was being controlled by the BP pills, so no need for anything else. This surprised me.

As far as I am aware there are no other conditions. She is in her mid-80's and otherwise very fit and "young". Typically, the females in her family go on happily till they're about 100.

I would have thought she needs to be, or at least should be considered for anti-coagulation. But not sure!

Any thoughts/experience?

Many thanks


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4 Replies

  • Sorry Koll, Whilst it does sound logical I'm not an expert on these matters I do know that bleed risk increases with age so it may be that this is an issue. I think a good idea would be a visit to the local stroke unit for assessment.. Don't take your GPs word for it ask for a second opinion.


  • Thanks Bob. I think asking for a 2nd opinion is a good idea. I'll speak to my wife about it. Koll

  • Not sure how this is applied to a patient of that age but normally I would expect an ultrasound scan of the carotid arteries and also perhaps an MRI of the brain too. Blood thinners is however good move as well and lowering the bp.

  • Hi Koll, you know how it is, sometimes I feel that the minimum gets done because everyone is so busy, and you need to focus them yourself. I think a proper assessment sounds like a very good idea. I hope she feels better soon.


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