Evidence map›Paper›PMID 41121616›Full record

ReviewStroke2025

Proposal for the Ischemic Stroke Phenotyping System 2025: ISPS25.

Shadi Yaghi, Michelle C Johansen, Malik Ghannam, Scott E Kasner, Nishita Singh, Luciano A Sposato, James E Siegler, Nicole B Sur, Farhan Khan, Hooman Kamel and 2 more

Abstract readReview
In one paragraph

Review in Stroke, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Shadi YaghiDepartment of Neurology, Brown University, Providence, RI (S.Y., F.K., K.L.F.).ORCID 0000-0003-0031-1004
Michelle C JohansenDepartment of Neurology, Johns Hopkins University, Baltimore, MD (M.C.J.).ORCID 0000-0003-0393-3589
Malik GhannamDepartment of Neurology, University of Iowa (M.G.).ORCID 0000-0003-2350-284X
Scott E KasnerDepartment of Neurology, University of Pennsylvania, Philadelphia (S.E.K.).ORCID 0000-0003-0418-6917
Nishita SinghDivision of Neurology, Department of Internal Medicine, University of Manitoba, Canada (N.S.).ORCID 0000-0003-3647-0904
Luciano A SposatoDepartment of Clinical Neurological Sciences, Western University, London, Ontario, Canada (L.A.S.).ORCID 0000-0001-6425-9343
James E SieglerDepartment of Neurology, University of Chicago, IL (J.E.S.).ORCID 0000-0003-0287-3967
Nicole B SurDepartment of Neurology, University of Miami, FL (N.B.S.).ORCID 0000-0002-3541-3599
Farhan KhanDepartment of Neurology, Brown University, Providence, RI (S.Y., F.K., K.L.F.).ORCID 0000-0002-5958-6881
Hooman KamelDepartment of Neurology, Cornell University, NY (H.K.).ORCID 0000-0002-5745-0307
Mitchell S V ElkindAmerican Heart Association, Dallas, TX (M.S.V.E.).ORCID 0000-0003-2562-1156
Karen L FurieDepartment of Neurology, Brown University, Providence, RI (S.Y., F.K., K.L.F.).ORCID 0000-0003-0065-3784

Funding

Defining the role of Atrial Cardiopathy and Subclinical Cardiac Disease in Acute Ischemic Stroke: Critical Life Event SupplementK23NS112459 · NINDS · JOHNS HOPKINS UNIVERSITY · PI JOHANSEN, MICHELLE C. · 2020 to 2024
$1.0M
Determinants of Alzheimer's Disease in Atrial Fibrillation apart from Stroke: The NOMINATE StudyR21NS126967 · NINDS · JOHNS HOPKINS UNIVERSITY · PI JOHANSEN, MICHELLE C. · 2022 to 2023
$466k
NINDS NIH HHS K23 NS112459NINDS NIH HHS R21 NS126967
6 · The paper itself

Abstract

Over the last 30 years, several classification systems have been proposed or used to aid in patients with subtyping ischemic stroke based on its likely etiology. Since these classification systems have been published, the field has gained more knowledge about newly reported mechanisms (eg, carotid artery web), new treatments being effective (eg, patent foramen ovale closure), and new diagnostic testing (eg, prolonged outpatient cardiac monitoring). Therefore, an updated ischemic stroke classification system is needed to integrate these advancements, enabling a more targeted workup and potentially improving treatment strategies. We propose a more comprehensive but practical and generalizable diagnostic evaluation and checklist for patients with ischemic stroke to help identify definite, probable, or possible mechanisms related to cardioembolism, large artery atherosclerosis, small vessel disease, or other determined causes (eg, hypercoagulable disorders, genetic disorders, cancer, or dissection). This expands the minimum diagnostic evaluation, leading to reclassification of patients and possibly improving secondary stroke prevention strategies. This will also create a new framework for targeted treatments and randomized trials for various ischemic stroke subtypes.

Indexed as

Ischemic StrokeHumansPhenotypeanticoagulantsatherosclerosisatrial fibrillationinfarctiontelemetry

Identifiers

PMID41121616
PMCPMC12614268

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.