The TIMI risk score, based upon
data from 15,000 patients with
an ST segment elevation
myocardial infarction eligible
for fibrinolytic therapy, is a
simple arithmetic sum of eight
independent predictors of
mortality.
|
TIMI
Risk Score for STEMI |
|
Historical |
|
Age
65-74
>/=
75 |
2 points
3 points |
|
DM/HTN
or Angina |
1 point |
|
Exam |
|
SBP
<
100 |
3 points |
|
HR >
100 |
2 points |
|
Killip
II-IV |
2 points |
|
Weight
<
67 kg |
1 point |
|
Presentation |
|
Anterior STE or LBBB |
1 point |
|
Time
to rx > 4 hrs |
1 point |
|
Risk
Score = Total |
(0-14) |
DM, diabetes
mellitus; HTN, hypertension; SBP,
systolic blood pressure; HR,
heart rate; STE, ST elevation;
LBBB, left bundle branch block;
and rx, treatment.
|
Risk
Score |
Odds
of death by 30D* |
|
0 |
0.1
(0.1-0.2) |
|
1 |
0.3
(0.2-0.3) |
|
2 |
0.4
(0.3-0.5) |
|
3 |
0.7
(0.6-0.9) |
|
4 |
1.2
(1.0-1.5) |
|
5 |
2.2
(1.9-2.6) |
|
6 |
3.0
(2.5-3.6) |
|
7 |
4.8
(3.8-6.1) |
|
8 |
5.8
(4.2-7.8) |
|
>8 |
8.8
(6.3-12) |
|
*
referenced to average
mortality (95% confidence
intervals) |
Related Criteria
NYHA Functional Classification for Congestive Heart Failure
Framingham Criteria for Congestive Heart Failure
Cardiovascular Major Risk Factors
Duke Criteria for Infective Endocarditis (IE)
Revised Jones Criteria for Acute
Rheumatic Fever (ARF)
Wells Clinical Prediction Rule
for Pulmonary Embolism and Deep
Venous Thrombosis
Braunwald Classification of Unstable Angina (UA)
More...
References:
