A 72-yeаr-оld wоmаn presents аfter a transient episоde of facial drooping and left upper extremity weakness that lasted approximately two hours the day prior to this clinic appointment. She is currently asymptomatic. Her past medical history includes hypertension, type 2 diabetes mellitus and current tobacco use. Her medications include losartan and metformin. Her family history includes her father, who had a myocardial infarction at age 62. She smokes tobacco daily and does not drink alcohol. On physical examination, her vital signs are within normal limits, blood pressure of 122/74 mmHg. Cardiac exam shows a regular heart rate without murmurs, and her neurological exam is within normal limits. Which diagnosis is most likely the cause of her symptoms?
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