According to Kleindorfer et al14 and Reeves et al,28 knowledge of stroke risk factors remained nearly un- changed over a 5 year period despite slightly higher educational level of the subjects and educational efforts over time. In addition, even having knowledge of stroke signs and recognizing stroke does not imply proper action in the case of stroke.5,6,29,36 Health care professionals should become more involved in educating patients, especially those at highest risk of stroke. Educational efforts should include both information on treatment of modifiable stroke risk factors and thus prevention of stroke and information about stroke symptoms and appropriate action in the event of stroke.