Introduction: Stroke is the second leading cause of death (WHO) and the leading cause of long term disability. Hypertension is the most important risk factor for stroke. In stroke, there are numerous treatments that save lives. With regard to the pre-hospital stage, the guidelines state that: “Rapid identification of patients with acute stroke and immediate hospitalization in a hospital with a stroke unit are important to provide optimal emergency treatment, including thrombolysis”. Materials and methods: The data presented here are collected from records of emergency care, through National Centre of Prehospital Emergency Medicine, Chisinau, between years 2016-2017. Results: In 2017 of the Emergency Medical Service Care served 182 281 patients with hypertension emergencies and EMSC served 11 786 patients of them was with cerebrovascular disease: 5175 (43.9%) urban and 6611 (56.1%) rural population. The 10 211 (86,6%) were hospitalized. The ischemic stroke were 7223 and 6417 (88.8%) were hospitalized. Patients with hemorrhagic stroke were 782 patients (6.6%) and 78,0% were hospitalized, transient ischemic attack 2319 patients (19.7%) and were hospitalized 85,3%. Up to the age 40 were registered 281 patients, 40-50 years were 593 patients and 50-70 years 6111 patients, and 238 patients aged 70 years. Conclusion: In emergency treatment of stroke, time is of the essence for the outcome. Current guidelines give rise to a loss of time that restricts the opportunities for effective treatment. To save lives and health, pre-hospital interventions must be included as an active part of the treatment chain. The ambulances should be equipped with a CT scanner for telemedical transfer of CT images for diagnostics at the nearest stroke unit.