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TIMI risk score

Indications: - used to predict risk of death or nonfatal MI in patients presenting with unstable angina or NSTEMI - used to determine whether conservative management or coronary revascularization is warranted [1] Procedure: Risk factors: - age >= 65 years - >= 3 cardiovascular risk factors - documented CAD with >= 50% stenosis - ST-segment deviation - >= 2 episodes of angina pectoris in past 24 hours - aspirin use in past week - elevated serum troponin-I or serum CKMB Interpretation: TIMI risk score: (sum of risk factors) - 0-2 = low risk - 3-4 = intermediate risk - 5-7 = high risk * should not be used as the sole means of determining patient disposition in the emergency department [2]

Related

acute coronary syndrome; unstable angina (ACS) non ST segment elevated myocardial infarction (nonSTEMI, NSTEMI) TIMI study

General

numerical rating scale (NRS)

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018.
  2. Hess EP, Agarwal D, Chandra S et al Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis. CMAJ. 2010 Jul 13;182(10):1039-44 PMID: 20530163
  3. md+calc: TIMI Risk Score for UA/NSTEMI http://www.mdcalc.com/timi-risk-score-for-uanstemi