Stroke care taking flight with the wings of ANGELS

Author:Werner Hacke, Valeria Caso, Romulo Urgel Esagunde, Hany Aref, Sheila Cristina Ouriques Martins & Robert Mikulik
Volume Info:Volume 6 January 2021
Article Information

Volume 6 January 2021, pages 08-25
Received: 14th December 2020; Accepted 18th December 2020

Werner Hacke
Past President of World Stroke Organisation and Senior Professor of Neurology, University of Heidelberg, Germany.

Valeria Caso
Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.

Romulo Urgel Esagunde
Department of Neurology, Jose R. Reyes Memorial Medical Center, San Lazaro Compound, Sta. Cruz, Manila 1003, The Philippines.

Hany Aref
Head of Neuropsychiatry department Ain Shams University, Egypt.

Sheila Cristina Ouriques Martins
Professor of Neurology, Universidade Federal do Rio Grande do Sul, Brazil; Chief of Neurology and Neurosurgery Service at Hospital Moinhos de Vento Porto Alegre, Brazil; Vice-President World Stroke Organization.

Robert Mikulik
Director of Stroke Program, International Clinical Research Center and Department of Neurology, St. Anne’s University Hospital and Masaryk University, Brno, Czech Republic.


The ANGELS Initiative, supported by Boehringer Ingelheim, was launched in Europe in 2016 in collaboration with the World Stroke Organisation (WSO) and the European Stroke Organisation (ESO). The ANGELS programme has now expanded rapidly and globally; its principal aims are to increase the number of patients treated in accredited stroke ready hospitals, and to optimize the quality of treatment in all existing stroke centres. This review article summarizes the content of presentations given at a Boehringer Ingelheim-sponsored 2020 WSO-ESO virtual conference entitled: “The Angels Initiative: Stroke Care Taking Flight with the Wings of Angels”. The content of these symposium presentations, made by leading stroke professionals, illustrate how low-cost telemedicine programmes utilizing smartphone apps, can enable remote hospitals, and their emergency medical services, to access specialist stroke expertise and guidance from distant comprehensive stroke centres. This communication technology between hospital stroke teams is improving diagnosis, decision making, providing faster access to treatment, and is saving lives.


Angels Initiative, Acute Stroke, Telestroke Networks, Stroke-Ready Hospital, Quality Monitoring



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