TIMI Risk Score for ST-Elevation Myocardial Infarction (STEMI) |
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Clinical feature / Points
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Age 75 years or older? (Points: 3 ) |
Age 65 to 74? (Points: 2 )
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Systolic blood pressure < 100 mmHg? (Points: 3 ) |
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Heart rate > 100 BPM? (Points: 2 ) |
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Killip II-IV? (Points: 2 ) |
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Anterior ST-elevation or LBBB? (Points: 1) |
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Diabetes, history of HTN, or angina? (Points: 1 ) |
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Weight < 67 kg? (Points: 1 ) |
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Time to treatment > 4 hours? (Points: 1 ) |
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Background
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| Risk Score |
TIMI risk score for STEMI for predicting 30 day
mortality.1
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| 0 |
0.8% |
| 1 |
1.6% |
| 2 |
2.2% |
| 3 |
4.4% |
| 4 |
7.3% |
| 5 |
12.4% |
| 6 |
16.1% |
| 7 |
23.4% |
| 8 |
26.8% |
| >8 |
35.9% |
References:
[1 ] Morrow DA, Antman EM, Charlesworth A, Cairns R, Murphy SA, de
Lemos JA, Giugliano RP, McCabe CH, Braunwald E. TIMI risk score for
ST-elevation myocardial infarction: A convenient, bedside, clinical score for
risk assessment at presentation: An intravenous nPA for treatment of infarcting
myocardium early II trial substudy. Circulation. 2000 Oct 24;102(17):2031-7.
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