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. 2019 Nov 6;26(5):438–450. doi: 10.5603/CJ.a2018.0046

Table 3.

Ten-point risk of paradoxical embolism (RopE) score to determine a high-risk patent foramen ovale (PFO).

Characteristic Points
No history of hypertension +1
No history of diabetes +1
No history of stroke or TIA +1
Nonsmoker +1
Cortical infarct on imaging +1
Age [years]:
 18–29 +5
 30–39 +4
 40–49 +3
 50–59 +2
 60–69 +1
 ≥ 70 0

SCORE INTERPRETATION

RoPE score PFO-attributable fraction (95% CI) Estimated stroke/TIA recurrence at 2 years

0–3 0% (0–4) 20% (12–28)
4 38% (25–48) 12% (6–18)
5 34% (21–45) 7% (3–11)
6 62% (54–68) 8% (4–12)
7 72% (66–76) 6% (2–10)
8 84% (79–87) 6% (2–10)
9–10 88% (83–91) 2% (0–4)

CI — confidence interval; TIA — transient ischemic attack