Following the diagram below we know that:
- Iain has had a minor ischaemic stroke
- No rare causes were identified
- His carotid duplex showed severe stenosis so a carotid endarterectomy is likely to reduce his risk of further stroke. See Topic Loop on right for further information.
- His ECG showed sinus rhythm
- He has been prescribed Clopidogrel and the doctor advised short term dual antiplatelet treatment
- He is already on cholesterol reducing drugs
- He is already taking medication to lower his blood pressure
- A HbA1c test has been arranged. See Topic Loop below for further information.
- Lifestyle behaviour changes should be used in conjunction with drug therapy to reduce the risk of recurrence – in particular he should give up smoking!
Topic Loops:
Doctor: “Most of your blood results are normal but your cholesterol level is a bit high and your blood sugar was also high. We will have to investigate these further. The scan of your neck shows a narrowing, or stenosis, of your right carotid artery which may require an operation.”
Page last reviewed: 18 Jan 2021
