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DOI: 10.1055/s-0045-1806923
Brazilian Public Health System protocol for the diagnosis, treatment, and clinical monitoring of acute ischemic stroke

Abstract
The Brazilian Ministry of Health has issued new recommendations for the management of patients with acute ischemic stroke. The protocol covers aspects related to diagnosis, treatment, and patient monitoring, expanding the available treatment options for patients treated within the Brazilian Public Health System (Sistema Único de Saúde – SUS, in Portuguese). This article discusses some of the recommendations presented in the current Clinical Practice Protocol, aiming to spread awareness of the document's updates and assist healthcare professionals and services in implementing these recommendations.
Keywords
Ischemic Stroke - Clinical Protocols - Tissue Plasminogen Activator - Thrombectomy - Public HealthAuthors' Contributions
Conceptualization: AR, ACPNP, CS, VC, MF, AA; Methodology: AR, ACPNP; Writing–original draft: AR, ACPNP, KB, SM; Writing–review & editing: AR, MF, SM; Supervision: CS, VC, DG, GD, KB, SP, MF, SM, AA; Visualization: SM, SP, GD, DG; Validation: AA, SM.
Editor-in-Chief: Ayrton Roberto Massaro.
Associate Editor: Octavio Pontes-Neto.
Publication History
Received: 09 December 2024
Accepted: 30 December 2024
Article published online:
20 June 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil
Aline Rocha, Ana Carolina Pereira Numes Pinto, Cinara Stein, Verônica Colpani, Débora Gräf, Gilson Dorneles, Karlyse Claudino Belli, Suena Parahiba, Maicon Falavigna, Sheila Ouriques Martins, Álvaro Nagib Atallah. Brazilian Public Health System protocol for the diagnosis, treatment, and clinical monitoring of acute ischemic stroke. Arq Neuropsiquiatr 2025; 83: s00451806923.
DOI: 10.1055/s-0045-1806923
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