Risk of Paradoxical Embolism (RoPE) Score
Points for younger age, female sex, absence of vascular risk factors, cortical infarct, and large shunt burden (0–10).
Calculator
How it works
RoPE estimates the likelihood that a detected PFO is causally related to a cryptogenic ischemic stroke using clinical and imaging features.
Limits
Does not replace shunt quantification, extended monitoring for AF, or multidisciplinary stroke/PFO pathways.
Educational tool only—not for diagnosis or treatment decisions.