Globally, stroke is that the second leading explanation for death.1 The estimated 62 000 strokes that occur annually in Canada affect all age groups, from neonates to elderly people, with occurrence rates rising by age. The lifetime risk of overt stroke is estimated at one in four by age 80 years, and therefore the lifetime risk of silent or covert stroke is probably going closer to 100%. Stroke affects men and ladies equally and causes major social and economic burdens to society, with direct costs above $3 billion annually in Canada. Acute stroke and acute coronary syndromes have many similarities. Here, we review the diagnosis and management of acute ischaemic stroke and compare its treatment thereupon of acute coronary syndrome, to assist illustrate how the rapid relief of arterial occlusion and restoration of normal blood flow can save lives and stop disability. This narrative review is predicated upon a critical analysis of relevant clinical trials. ischaemic stroke is that the commonest type. it's usually caused by a grume that blocks or plugs a vessel within the brain. This keeps blood from flowing to the brain. Within minutes, brain cells begin to die. Another cause is stenosis, or narrowing of the artery. A stroke may be a medical emergency. Symptoms of stroke include trouble walking, speaking and understanding, also as paralysis or numbness of the face, arm or leg. An ischaemic stroke occurs when an artery within the brain becomes blocked. ischaemic stroke occurs when a vessel supplying blood to the brain is obstructed. It accounts for about 87 percent of all strokes. ischaemic stroke is one among three sorts of stroke. it is also mentioned as brain ischemia and cerebral ischemia. this sort of stroke is caused by a blockage in an artery that supplies blood to the brain. The blockage reduces the blood flow and oxygen to the brain, resulting in damage or death of brain cells. There are two main causes of stroke: a blocked artery (ischemic stroke) or leaking or bursting of a vessel (hemorrhagic stroke). Ischemic strokes occur when blood supply is stop to a part of the brain. this sort of stroke accounts for the bulk of all strokes. Ischemic strokes also include something called a "mini stroke" or a TIA (transient ischemic attack).