Pat Andrews was with her family when she suddenly found herself unable to speak. Although she initially dismissed the episode as fatigue or difficulty adjusting to Colorado’s altitude, it turned out to be a transient ischemic attack (TIA), commonly known as a ministroke.
For years, TIAs were thought to be relatively harmless. However, recent research published in JAMA Neurology in January 2024 indicates that these events may lead to lasting cognitive decline and raise the risk of future strokes.
“If you suspect you’re having a TIA, you should absolutely seek medical care immediately,” said Mark Huber, MD, medical director of AdventHealth Castle Rock’s emergency department. “This is your brain we’re talking about.”
TIAs occur when blood flow to the brain is temporarily blocked but resolves on its own. In contrast, full strokes often require immediate medical intervention. According to Dr. Huber, identifying and addressing the causes of a TIA can help prevent more serious strokes later on.
“We want to identify that patient’s specific risk factors,” said Erin Gengaro, RN, BSN, stroke coordinator at AdventHealth Castle Rock.
Gengaro explained that after identifying the cause—such as high cholesterol or high blood pressure—patients can begin preventive treatments like statins, anti-coagulants, or blood pressure medications.
After her initial TIA, Andrews suffered a subsequent stroke months later and sought care at AdventHealth Castle Rock ER. As a former nurse aware of her high blood pressure risks, she worked with her care team to manage her condition through medication.
Andrews expressed appreciation for the hospital staff: “Every time I’ve gone to the emergency room, it’s been a truly positive experience. The staff is wonderful,” noting they even checked her home for safety before she returned after her stroke.
Following another incident where she struggled to unlock her phone during an emergency, Andrews now uses technology such as facial recognition and wears a medical alert pendant for quicker access to help. Other recommended strategies include keeping medication lists visible for responders and using voice-activated smart speakers during emergencies.
AdventHealth Castle Rock’s Emergency Room operates 24/7 as a Level III Trauma Center prepared for patients of all ages.
AdventHealth Orlando—a separate facility located in Orlando since 1908—serves as both a pediatric and training hospital under President Terry Shaw. More information about this institution can be found at https://www.adventhealth.com/hospital/adventhealth-orlando.
