Stroke is the second leading cause of death worldwide and the leading cause of acquired disability in economically developed
countries. The mortality rate for stroke declined, but the absolute number of stroke patients has increased. It
is therefore an urgent need to improve the prevention and management of strokes. Reduction in the incidence of ischemic
stroke and disability after stroke can be achieved by risk factors of stroke, mainly arterial hypertension and atrial
fibrillation, but also by improving the management of acute stroke. The article gives an overview of the changes in guidelines
for the treatment of acute ischemic stroke and a brief overview of recommendations for the secondary prevention
of ischemic stroke.