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Há 4 dias · Background: The Risk of Paradoxical Embolism (RoPE) score was developed to identify stroke-related patent foramen ovale (PFO) in patients with cryptogenic stroke. Methods: We conducted a retrospective analysis of the 2016 to 2020 National Inpatient Sample to determine the performance of the modified RoPE score in identifying the presence of a PFO in patients with acute ischemic stroke (AIS ...
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Previous stroke/TIA was the indication for PFO closure in...
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28 de jun. de 2024 · The risk of paradoxical embolism (RoPE) score and PFO-associated stroke causal likelihood classification system were assessed following current recommendations [11]. All patients were unanimously deemed reasonable candidates for transcatheter PFO closure by a multidisciplinary PFO group comprising several neurologists, cardiologists ...
15 de jun. de 2024 · RoPE scores were lower in older patients (median RoPE score of 5 vs. 7), and atrial septal aneurysm was more frequently detected among elderly patients. All procedures were technically successful.
27 de jun. de 2024 · The role of patent foramen ovale (PFO) in cryptogenic stroke (CS) is debated. Tools to predict PFO occurrence and attributable fraction are needed to guide cost-effective diagnostics and treatment. Risk of Paradoxical Embolism (RoPE) score relies on neuroimaging findings, which might be inconclusive in up to 30% of cases.
15 de jun. de 2024 · diagnostic workup leading to PFO closure were assessed, including carotid ultrasound, thrombophilic screening and ambulatory ECG monitoring (or loop recorder implanta-tion), transcranial Doppler, transthoracic or transesophageal echocardiography. The RoPE scores were calculated in any patient [16].
15 de jun. de 2024 · Previous stroke/TIA was the indication for PFO closure in 95.3% of older patients and 80.4% of younger patients, whereas other indications were more frequent among younger patients. RoPE scores were lower in older patients (median RoPE score of 5 vs. 7), and atrial septal aneurysm was more frequently detected among elderly patients.
Há 4 dias · The patients with PFO had greater mean modified RoPE scores (4.0 vs. 3.3, p < 0.001). The area under the curve for the RoPE score in predicting PFOs was 0.625 (95%CI 0.620–0.629). The best diagnostic power of the RoPE score was achieved with a cut-off point of ≥4 where the sensitivity was 55% and the specificity was 64.2%.