Abstract:
Background: It is predicted that stroke’s incidence and impact will increase considerably over time. Proper management of stroke depends on a reliable
and urgent diagnosis that includes patient / relative - emergency team - hospital chain, so the diagnosis begins with the recognition of the first signs of
stroke. In order to act promptly in the acute period and subsequently assess the risk factors, the neurological service needs to be equipped with highperformance
neuroimaging and clinical laboratory. The specific treatment of acute ischemic stroke is nowadays the reperfusion procedure, performed
by thrombolytic therapy and, since 2015, by the endovascular treatment. Stroke is also a leading cause of severe long-term disability. The rehabilitation of
post-stroke patients requires an interdisciplinary approach, in order to prevent recurrences, combat complications and reintegrate the patient into society.
Conclusions: Stroke remains one of the leading determinants of death and severe disability worldwide and the Republic of Moldova is not an exception.
Considering the narrow window for recognition and administration of outcome-modifying treatment, the management of stroke focuses mainly on
rapid reperfusion via intravenous thrombolysis and endovascular thrombectomy. The availability of this specialized treatment in the Stroke Unit could
improve the patient’s outcome and decrease the disability’s level and economical burden. There is clear evidence that preventing a stroke is much more
effective than treating it, so we should seize the opportunity and act involving not only the medical staff, but also the government, health decision makers,
specialists in public health and international agencies.
Description:
Department of Neurology No 2, Department of Neurology No 1, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova, Department of Neurology, Epileptology and Internal Diseases, Department of Neurosurgery, Laboratory of Cerebrovascular Diseases and Epilepsy, National Center of Epileptology Institute of Emergency Medicine, Chisinau, the Republic of Moldova, The 75th anniversary of Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova (1945-2020)