See related articles, pages 1068–1099.
The journal’s 40th anniversary has provided us with an opportunity to not only celebrate the past, but to help shape the future.
In anticipation of the anniversary, 7 working groups were struck to develop 3 main recommendations in their respective areas. This was initially accomplished by e-mail and conference calls, all in preparation for a synergium (a word that I coined to describe a forum for working synergistically together), which took place on February 22 and 23, 2010.
The event began with the reflections of 2 former Editors-in-Chief of Stroke, Henry Barnett1 and Mark Dyken,2 speaking on the progress in the field of stroke over the past 40 years. This was followed by Valentin Fuster’s “A cardiologist looks at stroke”3 and Yulun Wang discussing the potential of technology and robotics for multiplying the effectiveness of health professionals and empowering patients to do more for themselves.4
The next day, the groups met face to face for the first time; joined by registrants, they divided themselves among the groups. In the afternoon, each group presented its main recommendations followed by vigorous discussions. The groups refined what they had to recommend based on the audience’s contributions and additional input obtained during the preparation of the manuscript.5
The identified areas of priority give flesh to the generic recommendations of the World Stroke Day Proclamation6 and invite working groups to advocate specific initiatives.
Stroke is a huge problem but still a small field, in which most leaders know each other and are committed to build on and accelerate the unprecedented advances that our field has experienced in the past 4 decades.
We have progressed from helplessness and nihilism to action and hope.
The opinions in this editorial are not necessarily those of the editors or of the American Heart Association.
Barnett HJM. 40 years of progress in stroke. Stroke. 2010; 41: 1068–1072.
Dyken M. What lessons have we learned in the past 40 years? Stroke. 2010; 41: 1073–1075.
Fuster V. Promoting cardiovascular and cerebrovascular health. Stroke. 2010; 41: 1079–1083.
Wang Y, Lai F, Vespa P. Enabling technologies facilitate new healthcare delivery models for acute stroke. Stroke. 2010; 41: 1076–1078.
Hachinski V, Donnan GA, Gorelick PB, Hacke W, Cramer SC, Kaste M, Fisher M, Brainin M, Buchan AM, Lo EH, Skolnick BE, Furie KL, Hankey GJ, Kivipelto M, Morris J, Rothwell PM, Sacco RL, Smith SC, Wang Y, Bryer A, Ford GA, Iadecola C, Martins SCO, Saver J, Skvortskova V, Bayley M, Bednar MM, Duncan P, Enney L, Finklestein S, Jones TA, Kalra L, Kleim J, Nitkin R, Teasell R, Weiller C, Desai B, Goldberg MP, Heiss W-D, Saarelma O, Schwamm LH, Shinohara Y, Trivedi B, Wahlgren N, Wong LK, Hakim A, Norrving B, Prudhomme S, Bornstein N, Davis SM, Goldstein LB, Leys D, Tuomilehto J. Stroke: working toward a prioritized world agenda. Stroke. 2010; 41: 1084–1099.
Hachinski V. World Stroke Day Proclamation. Stroke: a preventable and treatable catastrophe. Stroke. 2008; 39: 2409–2420.