TIMI Risk Score for STEMI - MDCalc

TIMI Risk Score for STEMI · Age · Diabetes, Hypertension or Angina · Systolic BP < 100 mmHg · Heart rate > 100 · Killip Class II-IV · Weight < 67kg (147.7 lbs). Thisisanunprecedentedtime.Itisthededicationofhealthcareworkersthatwillleadusthroughthiscrisis.Thankyouforeverythingyoudo.COVID-19ResourceCenterCalcFunctionCalcsthathelppredictprobabilityofadiseaseDiagnosisSubcategoryof'Diagnosis'designedtobeverysensitiveRuleOutDiseaseisdiagnosed:prognosticatetoguidetreatmentPrognosisNumericalinputsandoutputsFormulaMedtreatmentandmoreTreatmentSuggestedprotocolsAlgorithmDiseaseSelect...SpecialtySelect...ChiefComplaintSelect...OrganSystemSelect...PatentPendingLogInEmailAddressPasswordShowForgotyourpassword?LogInOrcreateanewaccount(it'sfree)ForgotPassword?EmailAddressEnteryouremailaddressandwe'llsendyoualinktoresetyourpassword.GetNewPasswordSignInRequiredTosavefavorites,youmustlogin.Creatinganaccountisfree,easy,andtakesabout60seconds.LogInCreateAccountAlreadyhaveanMDCalcaccount?LogintolinkyourfavoritesandrecentlyusedcalcsEmailAddressPasswordShowForgotyourpassword?LogInOrcontinuetoNuanceAttentionCOACHSTUDYparticipants:Theprincipalinvestigatorsofthestudyrequestthatyouusetheofficialversionofthemodifiedscorehere.TIMIRiskScoreforSTEMIEstimatesmortalityinpatientswithSTEMI.WhentoUsePearls/PitfallsWhyUseApatientwithanST-ElevationMyocardialInfarction(STEMI)whoispost-cathmayhavebleedingrisksandtheprimaryteamwouldliketohelpobjectifyrisk-benefitofpost-PCImedications. ObviouslypatientswithSTEMIarealreadyathighriskforcomplicationsandadverseoutcomes,includingdeath. TheTIMIRiskScoreforSTEMImayhelpacardiology,medicaland/orintensivecareteamwithweighingrisk/benefitofmedications(likeanticoagulation)andinvasiveproceduresbyknowingapatient’sbaselinerisk. Thisscorewasdevelopedbasedonthrombolyticoutcomes,whichlikelyhaveworseoutcomeswhencomparedtoPCI. ShouldbeusedinpatientswithdiagnosedSTEMI,NOTtoevaluatepatientswithchestpain. Studiesoncliniciangestaltestimatingmortalityandcomplicationriskoftenunderestimaterisk,andguidelinesrecommendhigherriskpatientsreceivingmoreaggressivemedicalinterventions.Age<65years065-74+2≥75+3Diabetes,HypertensionorAnginaNo0Yes+1SystolicBP<100mmHgNo0Yes+3Heartrate>100No0Yes+2KillipClassII-IVJVDoranypulmonaryexamfindingsofCHFNo0Yes+2Weight<67kg(147.7lbs)No0Yes+1AnteriorSTElevationorLBBBNo0Yes+1Timetotreatment>4hoursNo0Yes+1Result:Pleasefilloutrequiredfields.NextStepsEvidenceCreatorInsightsDr.DavidA.MorrowAbouttheCreatorDavidA.Morrow,MD,MPH,isanassociateprofessoratHarvardMedicalSchoolandthedirectoroftheSamuelA.LevineCardiacUnitatBrighamandWomen'sHospitalinMassachusetts.HeisaseniorinvestigatorintheTIMIStudyGroupwitharesearchfocusinthemanagementofunstableandstablecoronaryarterydisease,andhedirectstheTIMIBiomarkerProgram.Dr.Morrowhasmorethan150publicationsinareassuchasriskstratificationinpatientswithischemicheartdisease.ToviewDr.DavidA.Morrow'spublications,visitPubMedAreyouDr.DavidA.Morrow?Sendusamessagetoreviewyourphotoandbio,andfindouthowtosubmitCreatorInsights!MDCalclovescalculatorcreators–researcherswho,throughintelligentandoftencomplexmethods,discovertoolsthatdescribescientificfactsthatcanthenbeappliedinpractice.Thesearerealscientificdiscoveriesaboutthenatureofthehumanbody,whichcanbeinvaluabletophysicianstakingcareofpatients.ContentContributorsGrahamWalker,MDRelatedCalcsSgarbossa'sCriteriaforMIACTIONICUScoreModifiedSgarbossa'sCriteriaforMIHavefeedbackaboutthiscalculator?AbouttheCreatorDr.DavidA.MorrowAreyouDr.DavidA.Morrow?AlsofromMDCalc...RelatedCalcsSgarbossa'sCriteriaforMIACTIONICUScoreModifiedSgarbossa'sCriteriaforMIContentContributorsGrahamWalker,MD