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The TIMI Risk Score for UA/NSTEMI estimates mortality for patients with unstable angina and non-ST elevation myocardial infarction (MI).
Feb 6, 2023 · The thrombolysis in myocardial infarction (TIMI) score is considered a tool for early risk stratification. According to several trials, notably TIMI 11B and ESSENCE, seven factors help assess the mortality risk and risk of other adverse cardiac events, as listed below.
- Suman S. Rao, Pradyumna Agasthi
- 2023/02/06
- 2021
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...
Oct 24, 2000 · The TIMI risk score for STEMI reliably identifies patients at very high risk while maintaining good discriminatory capacity in the low-risk range, where smaller absolute differences are more likely to impact clinical decisions.
- David A. Morrow, Elliott M. Antman, Andrew Charlesworth, Richard Cairns, Sabina A. Murphy, James A. ...
- 2000
- Overview
- How the TIMI risk score is calculated
- Interpreting your TIMI risk score
- Accuracy
- Next steps
Overview
The thrombolysis in myocardial infarction (TIMI) risk score is a tool used to predict the chances of having or dying from a heart event for people with:
•unstable angina, a heart condition that causes chest pain
•non-ST-segment elevation myocardial infarction (NSTEMI), a type of heart attack
The TIMI risk score is calculated by taking seven factors into account. Some of these are determined by performing specialized heart tests or asking about a person’s medical history.
The test is simple to calculate.
One point is given for each of the following:
•being older than 65
•using aspirin within the last week
•having at least two angina episodes in the last 24 hours
Your TIMI score can help your doctor accurately assess your chances of having or dying from a heart-related event in the next 14 days.
Scores are calculated and matched with a predicted risk.
The following chart includes possible scores and their corresponding risk percentages:
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.
A large study published in JAMA found that TIMI risk scores are useful and accurate at predicting a future heart event. Study authors found increasing risk scores led to an increase in the rate of events.
The researchers also pointed out that the TIMI tool is simple to use, and unlike other scoring systems, doesn’t require a computer or calculator to tabulate.
Doctors typically use the TIMI score on a select group of people with heart conditions that meet a certain criterion. This means not every person will be given a TIMI score.
Knowing your risk for having a heart attack or other heart-related event can be extremely helpful to your healthcare provider.
Your score may help your physician come up with a treatment strategy. For example, if your TIMI score is on the high side, your physician might want to treat your condition more aggressively or pursue other kinds of medical intervention.
You can lower your score, and your risk for a heart-related event, by:
•eating healthy, whole foods
•exercising daily
- Julie Marks
Feb 14, 2024 · Some of the criteria used to score the TIMI are: Being over age 65. Having at least three risk factors for coronary artery disease, such as diabetes, hypertension, smoking, or a family...
People also ask
What does a TIMI score mean?
What is the thrombolysis in myocardial infarction (TIMI) score?
What are the criteria used to score the Timi?
What is a TIMI Risk Score?
What is the TIMI Risk Score for UA/NSTEMI?
Does a TIMI score predict mortality?
Guidelines recommend the use of validated risk models to estimate the risk of acute myocardial infarction, 30-days and 1-year mortality in patients with NSTE-ACS. TIMI, GRACE and PURSUIT are such risk models.
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