TIMI (Thrombolysis in Myocardial Infarction) Risk Score Calculation
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Criteria
A. Age 65 years old or older? --->
B. Aspirin used in the last 7 days? --->
C. Angina occurred 2 or more times in the last 24 hours? --->
D. ST changes 0.5mm or more on admit EKG? --->
E. Serum Troponin or other biomarker elevated? --->
F. Coronary Artery Disease history (with at least 50% Coronary Artery stenosis)? --->
G. Cardiac Risk Factors (at least 3 need to be present)?
--- 1. Diabetes? --->
--- 2. Cigarette smoking? --->
--- 3. HTN (BP 140/90 mm Hg or on antihypertensive medication)? --->
--- 4. Low HDL cholesterol ( < 40 mg/dL)? --->
--- 5. Family history of premature CAD (male 1st-degree relative < 55 years OR female 1st-degree relative < 65 years)? --->
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TIMI Risk Score*: score interpretationscore=(age)+(aspirin)+(angina)+(stchanges)+(troponin)+(cad)+(diabetes)+(cigarette)+(hypertension)+(cholesterol)+(family); score>6.2?'Score=7, 40.9% risk':score>5.2?'Score=6, 40.9% risk':score>4.2?'Score=5, 26.2% risk':score>3.2?'Score=4, 19.9% risk':score>2.2?'Score=3, 13.2% risk':score>1.2?'Score=2, 8.3% risk':score>0.2?'Score=1, 4.7% risk':'Score=0, 4.7% risk'
*Mortality risk estimate is for 2 week subsequent risk of death, myocardial infarction, or need for revascularization following Acute Coronary Syndromes.
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