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.