TIMI stands for “Thrombolysis in Myocardial Infarction”. TIMI Trial is a study group that has conducted several trials mainly on the cardiovascular disease as general. The study also focuses on percutaneous coronary intervention and thrombolysis. In Acute coronary syndrome, accurate risk stratification is important to guide us for the appropriate therapy. The TIMI risk score can be used as a tool to use in managing people with possible acute coronary syndrome. It is a lot better compare to ECG changes and troponin alone.
TIMI risk score for Unstable angina / Non ST Elevation MI
| Risk factor | Score |
| Age 65 years old or more | 1 |
| Present of 3 risk factors for CAD (Coronary Artery Disease) or more | 1 |
| Patient is a know case of CAD (stenosis ? 50%) | 1 |
| Aspirin is used for the past 7 days | 1 |
| Patient have severe angina ( 2 or more episodes within 24 hours) | 1 |
| ST changes ? 0.5mm | 1 |
| Positive cardiac marker | 1 |
The score is between 0-7. The higher the score means the risk is greater and the patient should have an early intervention.
| TIMI risk score | Risk at 14 days of all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization. |
| 1 | 5% |
| 2 | 8% |
| 3 | 13% |
| 4 | 20% |
| 5 | 26% |
| 6 – 7 | 41% |
Risk factors for CAD:
- Family history of CAD
- Hypertension
- Hypercholesterolaemia
- Diabetes mellitus
- Current smoker
Related topic:
Reference:
- Available at : http://www.mdcalc.com/timi-risk-score-for-uanstemi
- http://en.wikipedia.org/wiki/TIMI
- Available at : http://qjmed.oxfordjournals.org/cgi/content/abstract/99/2/81
