Clinical Correspondence

Department of Stroke Medicine

Simulation General Hospital

Longheath Road

Mountainview

Simshire SI4 UON

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Date: 15th October 2018

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Jo Parks

577845  22.03.1940

18 The Mall, Winchester Grove, Peadleton PB6 7HG

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Diagnosis:

1. TIA

2. New AF

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Plan:

1. Commenced new Apixaban 5mg BD

2. Commenced atorvastatin 20mg OD

3. No driving 1 month

 

 

Dear GP Colleague,

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It was a pleasure to review Jo in TIA clinic today. Joe had presented following a 5 minute episode of left face, arm and leg weakness on 13th October. Symptoms fully resolved.

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Past medical history includes type II diabetes, Hypertension, osteoporosis and migraine. Jo lives fully independently and drives. There is no smoking history.

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Examination today was normal. Blood pressure 125/80 in clinic.

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MRI head today was normal. Carotid dopplers showed 10-49% stenosis in both internal carotid arteries.

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ECG today showed new atrial fibrillation rate 88.

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Plan:

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Jo has had a right hemispheric TIA in the context of new AF.  I have started anticoagulation today with Apixaban. 

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I have given advice to reducing stroke risk in the future and told Jo to refrain from driving for 1 month.

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Kind regards,

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Prof Simon Howell FRCP

Stroke Neurologist

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