🧠 RoPE Score (Paradoxical Embolism / PFO)
UseWhen to use: cryptogenic ischemic stroke with documented PFO under evaluation for causality/closure.
StrataHigher scores (≈≥7) favor PFO-related stroke; lower scores push alternative etiologies.
LimitsWhen not to use: to skip full stroke workup or mandate closure. · Pitfall: applying after clearly athero/cardioembolic stroke. · Integrate shunt anatomy and recurrence risk.
SourceKent DM et al. RoPE score
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
0–10.
When to use
When to use: cryptogenic ischemic stroke with documented PFO under evaluation for causality/closure.
How it works
Age band (0–5) + cortical infarct + no HTN + no DM + nonsmoker + no prior stroke/TIA (max 10).
Key points
- 0–10.
- Young + cortical + few risks → high.
- Next: TOE / neurology–cardiology shared decision.
References
- Kent DM et al. RoPE score
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age band | 40–49 (+3) |
|---|---|
| Cortical infarct on imaging | No (0) |
| No history of hypertension | Has HTN (0) |
| No history of diabetes | Has DM (0) |
| Nonsmoker | Smoker (0) |
| No prior stroke or TIA | Prior stroke/TIA (0) |
→RoPE3/10
- Cue：Lower RoPE — PFO less likely causal; pursue alternative etiologies
| Age band | 18–29 (+5) |
|---|---|
| Cortical infarct on imaging | No (0) |
| No history of hypertension | Has HTN (0) |
| No history of diabetes | Has DM (0) |
| Nonsmoker | Smoker (0) |
| No prior stroke or TIA | Prior stroke/TIA (0) |
→RoPE5/10
- Cue：Intermediate RoPE — integrate shunt grade, anatomy, and recurrence risk
Verification & sources · governance
FAQ
Frequently asked questions
- Does RoPE Score (Paradoxical Embolism / PFO) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is RoPE Score (Paradoxical Embolism / PFO) calculated in practice? Can you show a worked example?
- Inputs: Age band 40–49 (+3), Cortical infarct on imaging No (0), No history of hypertension Has HTN (0), No history of diabetes Has DM (0), Nonsmoker Smoker (0), No prior stroke or TIA Prior stroke/TIA (0) → Result: RoPE 3 /10（Cue: Lower RoPE — PFO less likely causal; pursue alternative etiologies） Inputs: Age band 18–29 (+5), Cortical infarct on imaging No (0), No history of hypertension Has HTN (0), No history of diabetes Has DM (0), Nonsmoker Smoker (0), No prior stroke or TIA Prior stroke/TIA (0) → Result: RoPE 5 /10（Cue: Intermediate RoPE — integrate shunt grade, anatomy, and recurrence risk）