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. 2022 Jul 22;11:19. doi: 10.12703/r/11-19

Table 1. Components of the TOAST classification for ischemic stroke causation.

TOAST ischemic stroke subtype
Atherothromboembolic
   •   Extracranial
   •   Intracranial
Cardioembolic
   •   Higher-risk (examples below)
        ◦   Atrial cardiopathy — atrial fibrillation
        ◦   Mitral stenosis with atrial fibrillation
        ◦   Mechanical prosthetic valves
        ◦   Severe left ventricular dysfunction
        ◦   Infective endocarditis
        ◦   Myxoma
   •   Lower risk (examples below)
        ◦   Mitral valve prolapse and annulus calcification
        ◦   Papillary fibroelastoma
        ◦   Lambl’s excrescences
Lacunar infarction (i.e., hypertensive arteriolopathy)
Other determined etiology (examples below)
   •   Non-atherosclerotic arteriopathies
   •   Neurovascular blunt trauma — dissection
   •   Paradoxical brain embolism
   •   Thrombophilias — congenital and acquired
Unknown etiology
   •   Type I: Incompletely evaluated
   •   Type II: Two or more potential causes (“double jeopardy”)
   •   Type III: Negative complete evaluation

We have made minimal stylistic modifications to the originally published classification for the sake of practical utilization. TOAST, Trial of ORG-10172 in Acute Stroke Treatment.