TIMI risk score
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Indications
- used to predict risk of death or nonfatal MI in patients presenting with unstable angina or NSTEMI
- used to determine whether conservative management or coronary revascularization is warranted[1]
Procedure
- age >= 65 years
- >= 3 cardiovascular risk factors
- documented CAD with >= 50% stenosis
- ST-segment deviation
- >= 2 episodes of angina pectoris in past 24 hours
- aspirin use in past week
- elevated serum troponin-I or serum CKMB
Interpretation
TIMI risk score: (sum of risk factors)
- 0-2 = low risk
- 3-4 = intermediate risk
- 5-7 = high risk
* should not be used as the sole means of determining patient disposition in the emergency department[2]
More general terms
Additional terms
- acute coronary syndrome; unstable angina (ACS)
- non ST segment elevated myocardial infarction (nonSTEMI, NSTEMI)
- TIMI study
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018.
- ↑ 2.0 2.1 Hess EP, Agarwal D, Chandra S et al Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis. CMAJ. 2010 Jul 13;182(10):1039-44 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20530163
- ↑ md+calc: TIMI Risk Score for UA/NSTEMI http://www.mdcalc.com/timi-risk-score-for-uanstemi