This handy calculator computes the 30 day mortality rate using TIMI risk score for STEMI. Overview TIMI Risk Score for STEMI Calculation of the TIMI Risk Score for STEMI Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D. List of terms related to TIMI Risk Score for STEMIĮditor-In-Chief: C. TIMI Risk Score for STEMI in the Marketplace Patients with a TIMI score 4 benefited from enoxaparin (as opposed to unfractionated heparin) and the addition of a IIb:IIIa inhibitor (Tirofiban) to heparin. Patients with a TIMI score 3 benefited from an early invasive strategy. Risk calculators and risk factors for TIMI Risk Score for STEMIĬauses & Risk Factors for TIMI Risk Score for STEMIĭiagnostic studies for TIMI Risk Score for STEMIĬME Programs on TIMI Risk Score for STEMI Although not absolute, the TIMI risk score has been shown to be useful to guide therapeutic decisions. Patient Handouts on TIMI Risk Score for STEMIĭirections to Hospitals Treating TIMI Risk Score for STEMI Patients assessed to be at low risk (eg, TIMI score of 0 to 2 in-hospital death/MI rate of up to 3 percent or GRACE risk score 108) are considered for a conservative approach. Patient resources on TIMI Risk Score for STEMIĭiscussion groups on TIMI Risk Score for STEMI NICE Guidance on TIMI Risk Score for STEMIīe alerted to news on TIMI Risk Score for STEMI US National Guidelines Clearinghouse on TIMI Risk Score for STEMI Trial results on TIMI Risk Score for STEMIĬlinical Trials on TIMI Risk Score for STEMI at Google Ongoing Trials on TIMI Risk Score for STEMI at Clinical Podcasts & MP3s on TIMI Risk Score for STEMIĬochrane Collaboration on TIMI Risk Score for STEMI Powerpoint slides on TIMI Risk Score for STEMI Review articles on TIMI Risk Score for STEMIĪrticles on TIMI Risk Score for STEMI in N Eng J Med, Lancet, BMJ Most cited articles on TIMI Risk Score for STEMI Most recent articles on TIMI Risk Score for STEMI Find out more about CVD risk factors in our CVD 10-year risk calculator, which is based on the long-lasting - and still ongoing - Framingham Heart Study.WikiDoc Resources for TIMI Risk Score for STEMI This parameter is considered the most prognostic of the TIMI score risk factors, and is associated with adverse outcomes.Īcute coronary syndrome is, in most cases, a result of long-lasting and neglected cardiovascular diseases (CVD), like obesity and hypertension. Positive cardiac marker - abnormally high levels of cardiac troponin I or T (cTnI or cTnT) or cardiac kinase - myocardial bands (CK-MB) are a bad sign, as they are a sign of heart damage. Look for changes of at least 0.5mm (0.5mV). Severe angina - defined here as at least two episodes in the past 24 hours.ĮKG deviations - in this case, we're looking for ST-segment depression (as in ST elevation we would be using another TIMI risk score). Some acetylsalicylic acid medicines are OTCs (Over-The-Counter drugs), don't forget to ask about that. Remember to ask the patient about incidents like myocardial infarction, stent or CABG placement, or prior angina pectoris.Īcetylsalicylic acid use in the past seven days - get a recent medical history with a list of all the drugs the patient is currently taking. Known CAD with stenosis ≥ 50% - this refers to patients with a history of coronarography. Being a current smoker (quitting one minute ago doesn't count - smoking recovery takes time).Ĭheck this criterion positive if at least three of them are present.family history of CAD (Coronary Artery Disease).Hypercholesterolemia and distorted cholesterol ratios.≥ 3 risk factors for coronary artery disease - these factors include: There are seven risk factors in the TIMI score calculator. The research has proven that the TIMI score correlates with the risk of the adverse outcome, and is a valuable prognostic tool, and, in addition - a very simple one.Īssessing the TIMI score helps you to find those patients who may benefit from more a aggressive treatment, which implies, e.g., a need for transport to a more specialized hospital or ward. ![]() Since then, it has been validated on thousands of patients in papers (e.g., in this American article) led by the TIMI Study Group. The TIMI score is a result of two international, randomized, double-blind trials and was launched in 2000. To help doctors spot the patients who are at the highest risk of severe health complications, the TIMI score (Thrombolysis In Myocardial Infarction) was made. Cases of ACS are not equally severe, so, although every patient needs close monitoring, the outcomes vary. Acute coronary syndrome (or ACS for short) is a common disease, contributing massively to hospital admission in the USA and all over the world. In an emergency, it's all about evaluating the risk of severe outcomes.
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