Result
risk at 14 days of : |
---|
- all-cause mortality, |
- new or recurrent MI (Myocardial Infarcion), |
- severe recurrent ischemia requiring urgent revascularization, is |
Consult Your Doctors for Further Investigation
The TIMI Score Calculator is a simple tool used to assess the 14-day risk of death or major health complications in patients with Unstable Angina or Non-ST-segment Elevation Myocardial Infarct. It helps identify high-risk patients for timely and appropriate medical interventions.
The TIMI Score Calculator is a tool used to evaluate the 14-day risk of death or major health complications.
TIMI Score stands for Thrombolysis In Myocardial Infarction Score.
Here is the formula for calculating TIMI Score.
TIMI Score = (Age ≥ 65 years) + (≥ 3 risk factors for coronary artery disease) + (Known CAD with stenosis ≥ 50%) + (Acetylsalicylic acid use in the past seven days) + (Severe angina) + (EKG deviations) + (Positive cardiac marker)
Each risk factor that is present in the patient is assigned a value of 1 point, and the total TIMI Score is the sum of the points. The higher the TIMI Score, the higher the risk of adverse outcomes.
TIMI score ranges from 0 to 7, with higher scores indicating a higher risk of adverse events. Here is a data presenting the TIMI Score and the corresponding risk level:
TIMI Score | Risk Level |
---|---|
0 | Very low risk |
1 | Low risk |
2 | Moderate risk |
3 | High risk |
4 | Very high risk |
5 | Extremely high risk |
6 | Highest risk |
7 | Highest risk |
TIMI Score is an important tool for risk stratification, and the actual interpretation of the score should be done in consultation with a healthcare professional.
Here are the seven risk factors in the TIMI score calculator:
Age ≥ 65 years
≥ 3 risk factors for coronary artery disease (CAD), including:
Known CAD with stenosis ≥ 50% - this refers to patients with a history of coronarography. Remember to ask the patient about incidents like myocardial infarction, stent or CABG placement, or prior angina pectoris.
Acetylsalicylic acid use in the past seven days - get a recent medical history with a list of all the drugs the patient is currently taking. Some acetylsalicylic acid medicines are OTCs (Over-The-Counter drugs), don't forget to ask about that.
Severe angina - defined here as at least two episodes in the past 24 hours.
EKG deviations - in this case, we're looking for ST-segment depression (as in ST elevation we would be using another TIMI risk score). Look for changes of at least 0.5mm (0.5 mV).
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. This parameter is considered the most prognostic of the TIMI score risk factors and is associated with adverse outcomes.
Here are the benefits of the TIMI Score Calculator.
Summary
Overall, TIMI Score Calculator is a simple and effective tool to assess the 14-day risk of adverse outcomes in patients with Unstable Angina or Non-ST-segment Elevation Myocardial Infarct.
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