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TIMI Risk Score
Aka: TIMI Risk Score, TIMI Risk
- See Also
- Chest Pain
- Acute Chest Pain
- Angina Diagnosis
- Cardiac Risk Assessment
- Cardiac Risk Management
- Coronary Risk Stratification of Chest Pain
- Bosner Chest Pain Decision Rule
- Cardiac Risk in Diabetes Score
- Chest Wall Pain Prediction Rule
- Framingham Score
- HEART Score
- GRACE Score
- Vancouver Chest Pain Rule
- Indications
- Chest Pain Evaluation (risk stratification)
- Criteria (assign one point for each positive)
- Age 65 years old or older
- Aspirin used in the last 7 days
- Angina occurred 2 or more times in the last 24 hours
- ST changes 0.5mm or more on admit EKG
- Serum Troponin or other biomarker elevated
- Coronary Artery Disease history (with at least 50% Coronary Artery stenosis)
- Cardiac Risk Factors with at least 3 present (e.g. Hypertension, Hyperlipidemia, premature CAD Family History, Tobacco abuse)
- Interpretation (2 week subsequent risk of death, Myocardial Infarction or need for revascularization)
- Score 0-1: 4.7% risk
- Score 2: 8.3% risk
- Score 3: 13.2% risk
- Score 4: 19.9% risk
- Score 5: 26.2% risk
- Score 6-7: 40.9% risk
- Efficacy
- Inconsistent results when applied to Low Risk Chest Pain in the emergency department
- Chase (2006) Ann Emerg Med 48(3): 252-9 [PubMed]
- Resources
- TIMI Risk Score Calculator
- http://www.timi.org/?page_id=294
- References
- Antman (2000) JAMA 284(7):835-842 [PubMed]
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