Timi risk score calculator8/26/2023 The TIMI score is primarily used in the context of ACS, which encompasses unstable angina (chest pain at rest) and non-ST-segment elevation myocardial infarction (NSTEMI). By assigning points to each of these variables, the score generates a numerical value that corresponds to the patient's risk category. These factors may include age, heart rate, blood pressure, medical history (such as diabetes or hypertension), and the presence of certain cardiac markers (such as elevated troponin levels). The TIMI score incorporates several clinical and demographic factors to estimate the risk of future cardiovascular events. The score helps in evaluating the prognosis and making treatment decisions for such patients. WHEN TO USE: Patients with confirmed acute coronary syndrome.The TIMI (Thrombolysis in Myocardial Infarction) score is a clinical risk score used to assess the likelihood of adverse cardiovascular events, particularly in patients with acute coronary syndromes (ACS), or those at risk of experiencing myocardial infarction (heart attack). Quantifies severity of heart failure in ACS and predicts 30-day mortality. Killip Classification for Heart Failure (MD-Calc) Do not use if new ST-segment elevation ≥1 mm or other new EKG changes, hypotension, life expectancy less than 1 year, or noncardiac medical/surgical/psychiatric illness determined by the provider to require admission. INSTRUCTIONS: Use in patients ≥21 years old presenting with symptoms suggestive of ACS. Predicts 6-week risk of major adverse cardiac event. HEART Score for Major Cardiac Events (MD-Calc) However, it was originally derived in patients with confirmed unstable angina or non-ST elevation myocardial infarction. It has been shown to both predict in-hospital and long-term mortality.Įstimates mortality for patients with unstable angina and non-ST elevation MI.Ĭan be used to help risk stratify patients with presumed ischemic chest pain. It was also validated against a registry of over 300,000 NSTEMI patients. ![]() Provides mortality estimate in patients with ACS using only blood pressure, heart rate, and age.Ī simple calculator to predict 30-day mortality, which has been well validated against a registry of 150,000 STEMI patients, and shown to have a very good discriminatory capacity. IMPORTANT: ADD-RS + D-dimer (the ADvISED study algorithm) has not been externally validated in ruling out acute aortic dissection and should thus be used with caution. WHEN TO USE: Patients with chest pain that may be cardiac in nature.ĪDD-RS (Aortic Dissection Detection Risk Score) T-MACS (MD-Calc) ( Troponin-only Manchester Acute Coronary Syndromes Decision Aid) INSTRUCTIONS: Use in patients ≥18 years old presenting with suspected cardiac chest pain (symptoms within the last 24 hours). Stratifies ACS risk with history and EKG only (not yet externally validated). HE-MACS (MD-Calc) ( History and Electrocardiogram-only Manchester Acute Coronary Syndromes) ![]() Sgarbossa's is a well accepted approach at determining which LBBB are having an MI. About 1 in 200 patients with MI have LBBB. It's often difficult to identify an MI for patients with existing left bundle branch blocks (LBBB). Criteria to diagnose acute MI in patients with prior LBBB.
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