4016820
doi
10.5281/zenodo.4016820
oai:zenodo.org:4016820
Zota, Eremei
Nicolae Testemitanu State University of Medicine and Pharmacy Chisinau, the Republic of Moldova
Bodiu, Adrian
Nicolae Testemitanu State University of Medicine and Pharmacy Chisinau, the Republic of Moldova
Gasnas, Alexandru
Nicolae Testemitanu State University of Medicine and Pharmacy Chisinau, the Republic of Moldova
Manole, Elena
Nicolae Testemitanu State University of Medicine and Pharmacy Chisinau, the Republic of Moldova
Ciobanu, Natalia
Institute of Emergency Medicine, Chisinau, the Republic of Moldova
Leahu, Pavel
Institute of Emergency Medicine, Chisinau, the Republic of Moldova
Efremova, Daniela
Institute of Emergency Medicine, Chisinau, the Republic of Moldova
Crivorucica, Igor
Institute of Emergency Medicine, Chisinau, the Republic of Moldova
Glavan, Danu
Institute of Emergency Medicine, Chisinau, the Republic of Moldova
Balanuta, Tatiana
Institute of Emergency Medicine, Chisinau, the Republic of Moldova
Diagnosis and management of ischemic stroke: time is critical
Groppa, Stanislav
Nicolae Testemitanu State University of Medicine and Pharmacy Chisinau, the Republic of Moldova
info:eu-repo/semantics/openAccess
Creative Commons Attribution 4.0 International
https://creativecommons.org/licenses/by/4.0/legalcode
ischemic stroke
pathogenesis
prevention
diagnosis
treatment
<p><strong>Background:</strong> 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.</p>
<p><strong>Conclusions:</strong> 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</p>
Zenodo
2020-10-01
info:eu-repo/semantics/article
4016819
1600477171.789946
1582765
md5:5108faa0235ab3e5fcde74268d4bc1a8
https://zenodo.org/records/4016820/files/MMJ-Vol-63-No-4-Oct-2020_65-74.pdf
public
10.5281/zenodo.4016819
isVersionOf
doi
Moldovan Medical Journal
63(4)
65-74
2020-10-01