Experiences of transient ischaemic attack diagnosis and secondary prevention: a qualitative review

Abstract

Background: A transient ischaemic attack (TIA) diagnosis is a serious, early sign that a person is at high risk of stroke. However, little is known about patients' experiences, perceptions and behaviours regarding TIA symptoms, diagnosis and secondary prevention. Aim: To explore patients' experiences of TIA symptoms, diagnosis and treatment, and secondary prevention. Methods: A qualitative review was conducted using a meta-aggregation approach. Five major databases were searched to identify eligible papers. Findings were extracted and grouped into categories to generate synthesised findings. Findings: Four papers (69 participants) were included. Three synthesised findings were developed: The first 24 hours; Impact and effect on quality of life; and Reducing the risk. Following TIA diagnosis, patients may experience persistent anxiety and fatigue, and many patients do not understand the importance of secondary prevention. Conclusion: There is a lack of awareness of TIA symptoms and of the importance of seeking immediate help and engaging with secondary prevention.