SPARKLE (Subtypes of Ischaemic Stroke Classification System), Incorporating Measurement of Carotid Plaque Burden: A New Validated Tool for the Classification of Ischemic Stroke Subtypes
Author(s) -
Chrysi Bogiatzi,
Thapat Wannarong,
A. Ian McLeod,
Marnin J. Heisel,
Daniel G. Hackam,
J. David Spence
Publication year - 2014
Publication title -
neuroepidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.217
H-Index - 87
eISSN - 1423-0208
pISSN - 0251-5350
DOI - 10.1159/000362417
Subject(s) - medicine , stroke (engine) , etiology , stenosis , ischemic stroke , acute stroke , cardiology , reliability (semiconductor) , ischemia , mechanical engineering , tissue plasminogen activator , engineering , power (physics) , physics , quantum mechanics
Previous classification systems of acute ischemic stroke (Causative Classification System, CCS, of acute ischemic stroke, Trial of Org 10172 in Acute Stroke Treatment, TOAST) established the diagnosis of large artery disease (LAD) based on the presence or absence of carotid stenosis. However, carotid plaque burden is a stronger predictor of cardiovascular risk than stenosis. Our objective was to update definitions of ischemic stroke subtypes to improve the detection of LAD and to assess the validity and reliability of a new classification system: SPARKLE (Subtypes of Ischaemic Stroke Classification System).
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