The Thrombolysis in Myocardial Infarction (TIMI) Score is used to determine the likelihood of ischemic events or mortality in patients with unstable angina or non–ST-segment elevation myocardial infarction (NSTEMI).
What is a high risk TIMI score?
High-risk (TIMI Risk Score > or = 5 points) and moderate-risk (TIMI Risk Score 3-4 points) group comprised 324 and 240 patients respectively. High-risk group comprised older patients, fewer men, more diabetics and hypertensive patients.
How do you interpret TIMI risk score?
This means if you have a TIMI score of “0” or “1,” you have only a 4.7% risk of having or dying from a heart event….Interpreting your TIMI risk score.
| Score | Risk of heart event |
|---|---|
| 4 | 19.9% |
| 5 | 26.2% |
| 6 to 7 | At least 40.9% |
What is the TIMI score for chest pain?
Newer chest pain risk scores such as the HEART Score have been shown to better stratify risk than the TIMI Score, particularly in the undifferentiated chest pain patient. A TIMI risk score of 0 or 1 does not equal zero risk of adverse outcome. The original study showed 4.7% of patients with a score of 0 or 1 had adverse outcomes within 14 days.
What is the TIMI Risk Score for UA/NSTEMI?
Traditionally, the TIMI Risk Score for UA/NSTEMI can correlate the risk of adverse outcome in chest pain patients. 5% risk at 14 days of: all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization.
How does the TIMI Risk Score affect event rates?
Event rates increased significantly as the TIMI risk score increased in the test cohort in TIMI 11B: 4.7% for a score of 0/1; 8.3% for 2; 13. 2% for 3; 19.9% for 4; 26.2% for 5; and 40.9% for 6/7 (P<.001 by chi(2) for trend). The pattern of increasing event rates with increasing TIMI risk score was confirmed in all 3 validation groups (P<.001).
What is the TIMI Risk Score for unstable angina/non-ST elevation MI?
In patients with UA/NSTEMI, the TIMI risk score is a simple prognostication scheme that categorizes a patient’s risk of death and ischemic events and provides a basis for therapeutic decision making. JAMA. 2000;284:835-842 The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making
