Stroke is a leading medical burden in terms of mortality and disability. The heart is both a major source for stroke s and is also directly affected in the acute phase and cardiac complications put the patient at high risk of poor outcome. Clearly, cardiologist’s expertise is crucially not only in primary prevention, but also in acute diagnostics, treatment and monitoring for complications of stroke. Further, subsequent diagnostic workup and long-term secondary prevention call for involvement of cardiologists. The ESC Council on Stroke aims to promote interdisciplinary concepts of modern stroke care. In this recent paper in the E-Journal of Cardiology Practice an overview is provided on state-of-the-art principles of stroke care to highlight the role of the cardiologist in modern stroke management.