Stroke & TIA

Also: cerebrovascular accident · CVA · mini-stroke · transient ischaemic attack

Stroke and transient ischaemic attack (TIA) are time-critical neurological emergencies. Care hinges on rapid recognition, imaging-guided decisions about thrombolysis or thrombectomy, and secondary prevention.

This hub brings together the stroke/TIA risk and severity scores, antiplatelets and anticoagulants, and the relevant pathways.

Calculators & scores

Canadian TIA Score

Stroke / TIA
ABCD² Score for TIA

Stroke / TIA
NIH Stroke Scale (NIHSS)

Diagnosis
ASPECTS — Alberta Stroke Program Early CT Score

Stroke
ROSIER Scale for Stroke Recognition

Stroke
DRAGON Score for Post-tPA Stroke Outcome

Stroke
Simplified National Institutes of Health Stroke Scale (sNIHSS)

Stroke
HAT (Haemorrhage After Thrombolysis) Score for Post-tPA Haemorrhage Risk

Stroke Thrombolysis
SEDAN Score for Post-tPA Haemorrhage

Stroke
FAST-ED Scale for Large Vessel Occlusion

Stroke
tPA Contraindications for Ischemic Stroke

Stroke
Los Angeles Motor Scale (LAMS) for Stroke Severity

Stroke
THRIVE Score for Ischaemic Stroke Outcome

Stroke
Rapid Arterial oCclusion Evaluation (RACE) Scale for Stroke

Stroke

Decision pathways

Acute Stroke / TIA Assessment

NICE NG128; RCP Stroke Guidelines 2023
Acute Stroke Management

NICE NG128 / RCP 2023
TIA Assessment (ABCD2)

NICE NG128 / NICE CG68
STEMI & Reperfusion

ESC 2023 ACS Guidelines; NICE NG185
Vertigo Workup

ENT UK; NICE CKS
Stroke Rehabilitation

NICE NG236 (2023); RCP Stroke Guidelines
Cervical Artery Dissection

ESO 2024; AHA/ASA 2021
Central Retinal Artery Occlusion (CRAO)

RCOphth; AHA/ASA 2021

Drugs

Apixaban

Anticoagulant
Atorvastatin

Lipid-Lowering
Aspirin (Antiplatelet — ACS/PCI)

Antiplatelet / ACS
Clopidogrel (ACS / Post-PCI)

Antiplatelet / ACS
Alteplase (STEMI Thrombolysis)

Thrombolytic / STEMI
Alteplase

Recombinant Tissue Plasminogen Activator (Thrombolytic)
Aspirin

Antiplatelet / NSAID / Antipyretic / Analgesic
Aspirin (Loading Dose)

Antiplatelet — ACS / Ischaemic Stroke
Clopidogrel (Loading Dose)

P2Y12 Inhibitor Antiplatelet — ACS
Alteplase (tPA)

Thrombolytic — Ischaemic Stroke / Massive PE
Tenecteplase

Cardiovascular Emergency
Aspirin (Low-dose Antiplatelet)

Antiplatelet Agent (Irreversible COX-1 Inhibitor)

Decision support only. These tools are aggregated by topic to aid navigation — always apply clinical judgement and the relevant national or local guideline.