TIMI risk score

WikiDoc Resources for TIMI risk score
Articles
Most recent articles on TIMI risk score Most cited articles on TIMI risk score Review articles on TIMI risk score Articles on TIMI risk score in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on TIMI risk score Images of TIMI risk score Photos of TIMI risk score Podcasts & MP3s on TIMI risk score Videos on TIMI risk score
Evidence Based Medicine
Cochrane Collaboration on TIMI risk score Bandolier on TIMI risk score TRIP on TIMI risk score
Clinical Trials
Ongoing Trials on TIMI risk score at Clinical Trials.gov Trial results on TIMI risk score Clinical Trials on TIMI risk score at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on TIMI risk score NICE Guidance on TIMI risk score NHS PRODIGY Guidance FDA on TIMI risk score CDC on TIMI risk score
Books
Books on TIMI risk score
News
TIMI risk score in the news Be alerted to news on TIMI risk score News trends on TIMI risk score
Commentary
Blogs on TIMI risk score
Definitions
Definitions of TIMI risk score
Patient Resources / Community
Patient resources on TIMI risk score Discussion groups on TIMI risk score Patient Handouts on TIMI risk score Directions to Hospitals Treating TIMI risk score Risk calculators and risk factors for TIMI risk score
Healthcare Provider Resources
Symptoms of TIMI risk score Causes & Risk Factors for TIMI risk score Diagnostic studies for TIMI risk score Treatment of TIMI risk score
Continuing Medical Education (CME)
CME Programs on TIMI risk score
International
TIMI risk score en Espanol TIMI risk score en Francais
Business
TIMI risk score in the Marketplace Patents on TIMI risk score
Experimental / Informatics
List of terms related to TIMI risk score

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

TIMI Risk Score for Unstable Angina

The TIMI risk score for unstable angina was derived in the test cohort by selection of independent prognostic variables using multivariate logistic regression, assignment of value of 1 when a factor was present and 0 when it was absent, and summing the number of factors present to categorize patients into risk stratification. The total possible score is 7.

• Age (greater than 65 years) = 1
• Cardiac enzymes (raised serum cardiac markers) = 1
• EKG (ST segment depression at presentation) = 1
• Risk factors (at least three for coronary artery disease) = 1
• Ischemia (at least two anginal events in previous 24 hours) = 1
• Coronary artery stenosis (prior stenosis of 50% or more) = 1
• Aspirin (use in previous 7 days) = 1

The risk at 14 days of either all-cause death, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization is as follows:

• Score of 0-1 = 4.7% risk

• Score of 2 = 8.3% risk

• Score of 3 = 13.2% risk

• Score of 4 = 19.9% risk

• Score of 5 = 26.2% risk

• Score of 6-7 = at least 40.9% risk

TIMI Risk Score for STEMI

Total possible score is 14

• Demographic data and medical history

• Age ≥75 years = 3
• Age 65–74 years = 2
• History of diabetes mellitus or hypertension or angina = 1

• Physical examination

• Systolic blood pressure <100 = 3
• Heart rate >100 = 2
• Killip class II–IV = 2
• Weight <67 kg = 1

• Evaluation at presentation

• Anterior ST elevation or left bundle branch block = 1
• Time to therapy >4 h = 1

Interpretation of TIMI STEMI Risk Score

Interpretation of TIMI STEMI Risk Score

Score	30 Day Mortality
0	0.8%
1	1.6%
2	2.2%
3	4.4%
cell	cell
cell	cell
cell	cell
cell	cell