TIMI (Thrombolysis in Myocardial Infarction) Risk Score

Cardiovascular
No Comments
Loading Add to Favorites
Share
Tweet
TIMI (Thrombolysis in Myocardial Infarction) Risk Score Calculation
.....................................................................................................
Criteria
A. Age 65 years old or older? ---> [select name="age" value="Yes (1 point)=1|No (0 points)=0"]
B. Aspirin used in the last 7 days? ---> [select name="aspirin" value="Yes (1 point)=1|No (0 points)=0"]
C. Angina occurred 2 or more times in the last 24 hours? ---> [select name="angina" value="Yes (1 point)=1|No (0 points)=0"]
D. ST changes 0.5mm or more on admit EKG? ---> [select name="stchanges" value="Yes (1 point)=1|No (0 points)=0"]
E. Serum Troponin or other biomarker elevated? ---> [select name="troponin" value="Yes (1 point)=1|No (0 points)=0"]
F. Coronary Artery Disease history (with at least 50% Coronary Artery stenosis)? ---> [select name="cad" value="Yes (1 point)=1|No (0 points)=0"]
G. Cardiac Risk Factors (at least 3 need to be present)?
--- 1. Diabetes? ---> [select name="diabetes" value="Yes=0.1|No=0"]
--- 2. Cigarette smoking? ---> [select name="cigarette" value="Yes=0.1|No=0"]
--- 3. HTN (BP 140/90 mm Hg or on antihypertensive medication)? ---> [select name="hypertension" value="Yes=0.1|No=0"]
--- 4. Low HDL cholesterol ( < 40 mg/dL)? ---> [select name="cholesterol" value="Yes=0.1|No=0"]
--- 5. Family history of premature CAD (male 1st-degree relative < 55 years OR female 1st-degree relative < 65 years)? ---> [select name="family" value="Yes=0.1|No=0"]
.....................................................................................................
TIMI Risk Score*: [calc value="score=(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'" memo="score interpretation"]
*Mortality risk estimate is for 2 week subsequent risk of death, myocardial infarction, or need for revascularization following Acute Coronary Syndromes.
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/10938172" target="_blank">Antman (2000) JAMA 284:835</a>, <a href="http://www.fpnotebook.com/cv/exam/TmRskScr.htm" target="_blank">FP Notebook Page</a>[/html][/conditional]
TIMI (Thrombolysis in Myocardial Infarction) Risk Score Calculation
.....................................................................................................
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)? --->
.....................................................................................................
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.

display/hide references
Result - Copy and paste this output:

Leave a Reply