May 28, 2009

TIMI Score Mnemonic: 1234567

Acute Myocardial Infarction 12 Lead Electrocar...Image via Wikipedia

Thrombolysis in Myocardial/Infarction (TIMI) UA/NSTEMI: 1234567
1/2, 2+, >3+, (4), .05, >65, 7d
  1. CAD hx (>1/2 stenosis)
  2. Angina (2+ episodes in past 24hr)
  3. Atherosclerosis RF (>3+)
    FHx
    CAD
    HTN
    HLD
    DM
    Smoker
  4. Hi cardiac markers (of which there are 4): TnI, TnT, CKMB, LDH
  5. ST-segment deviation of 0.05 mV or more
  6. Age >65
  7. ASA use (in past 7d)

Patients with three or more of the seven variables are considered to be at high risk, whereas those with no more than two of the variables are considered to be at low risk.

 

References:

Optimal Management of Acute Coronary Syndromes. L. D. Hillis and R. A. Lange - 21 May, 2009

TIMI scores :
TIMI Risk Score for UA/NSTEMI
TIMI Risk Score for STEMI

Global Registry of ACS Events (GRACE)
www.outcomes-umassmed.org/grace

Bleeding Risk with www.crusadebleedingscore.org



Reblog this post [with Zemanta]

1 comment: