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. This simple prognostication tool from the USA can be remembered by the mnemonic, AMERICA.In an emergency, it's all about evaluating the risk of severe outcomes. Ischemic chest pain (at least 2 or more anginal events in the previous 24hrs)Ĭoronary stenosis (prior stenosis of 50% or more)Īspirin (aspirin usage in the past 7 days) ![]() Risk Factors (3 or more cardiovascular risk factors) The TIMI risk score is composed of seven independent risk factors:ĮCG (ST-segment depression at presentation) The TIMI Score was developed in AMERICA to predict adverse outcomes in patients with UA and NSTEMI. TIMI Risk Score for UA/NSTEMIĮstimates risk at 14 days of all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization for patients with unstable angina and non-ST elevation MI. The TIMI score was initially validated as a prognostic tool for patients admitted for ACS but has been studied for use in the diagnosis of MI. TIMI score = Thrombolysis in Myocardial Infarction score.
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