{"id":2490,"date":"2009-03-08T17:58:04","date_gmt":"2009-03-08T17:58:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carstemi\/"},"modified":"2025-05-14T19:09:54","modified_gmt":"2025-05-14T19:09:54","slug":"carstemi","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carstemi\/","title":{"rendered":"Score de Riesgo TIMI para Infarto de Miocardio con Elevaci\u00f3n del ST (STEMI)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\">El score de riesgo TIMI, basado en los datos de m\u00e1s de 15.000 pacientes con infarto de miocardio con elevaci\u00f3n del ST elegibles para tratamiento fibrinol\u00edtico, es una simple suma aritm\u00e9tica de 8 predictores independientes de mortalidad.<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong>Score de Riesgo TIMI para STEMI<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong><em>Antecedentes<\/em><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 42px;\">\n<td style=\"height: 42px; width: 282px;\">\u00a0\u00a0\u00a0Edad\u00a065-74<br \/>\n&gt;\/= 75<\/td>\n<td style=\"height: 42px; width: 282px; text-align: center;\">2\u00a0puntos<br \/>\n3\u00a0puntos<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0 DM\/HTN o Angina<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1\u00a0punto<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong><em>Examen<\/em><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0 PAS\u00a0&lt; 100<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">3\u00a0puntos<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0 FC &gt; 100<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">2\u00a0puntos<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0 Killip II-IV<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">2\u00a0puntos<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0 Peso\u00a0&lt; 67 kg<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1\u00a0punto<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong><em>Presentaci\u00f3n<\/em><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0 Elevaci\u00f3n ST anterior o BRI<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1\u00a0punto<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">\u00a0\u00a0\u00a0Tiempo de trat. &gt; 4 hrs<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1 punto<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\"><strong>\u00a0\u00a0 Score de Riesgo = Total<\/strong><\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\"><strong>(0-14)<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">DM, diabetes mellitus; HTN, hipertensi\u00f3n; PAS, presi\u00f3n arterial sist\u00f3lica; FC, frecuencia cardiaca; y BRI, bloqueo de rama izquierda.<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"189\"><strong>Score de Riesgo<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"189\"><strong>Probabilidad de muerte por 30D*<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">0<\/td>\n<td style=\"text-align: center;\" width=\"189\">0.1 (0.1-0.2)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">1<\/td>\n<td style=\"text-align: center;\" width=\"189\">0.3 (0.2-0.3)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">2<\/td>\n<td style=\"text-align: center;\" width=\"189\">0.4 (0.3-0.5)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">3<\/td>\n<td style=\"text-align: center;\" width=\"189\">0.7 (0.6-0.9)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">4<\/td>\n<td style=\"text-align: center;\" width=\"189\">1.2 (1.0-1.5)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">5<\/td>\n<td style=\"text-align: center;\" width=\"189\">2.2 (1.9-2.6)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">6<\/td>\n<td style=\"text-align: center;\" width=\"189\">3.0 (2.5-3.6)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">7<\/td>\n<td style=\"text-align: center;\" width=\"189\">4.8 (3.8-6.1)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">8<\/td>\n<td style=\"text-align: center;\" width=\"189\">5.8 (4.2-7.8)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"189\">&gt;8<\/td>\n<td style=\"text-align: center;\" width=\"189\">8.8 (6.3-12)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\" width=\"378\">* referenciado al promedio de mortalidad (95% intervalo de confianza)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Morrow DA, Antman EM, Charlesworth A, Cairns R, Murphy SA, de Lemos JA, Giugliano RP, McCabe CH, Braunwald E. TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy. Circulation. 2000 Oct 24;102(17):2031-7.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11044416\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Morrow DA, Antman EM, Parsons L, de Lemos JA, Cannon CP, Giugliano RP, McCabe CH, Barron HV, Braunwald E. Application of the TIMI risk score for ST-elevation MI in the National Registry of Myocardial Infarction 3. JAMA. 2001 Sep 19;286(11):1356-9.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11560541\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Feb 18, 2007<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El score de riesgo TIMI, basado en los datos de m\u00e1s de 15.000 pacientes con infarto de miocardio con elevaci\u00f3n del ST elegibles para tratamiento fibrinol\u00edtico, es una simple suma aritm\u00e9tica de 8 predictores independientes de mortalidad.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[1348,1491,1490,350,349,347,346,836,767,450,1489,1488,1492],"class_list":["post-2490","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiology","tag-elevacion","tag-elevation","tag-infarction","tag-infarto","tag-miocardio","tag-myocardial","tag-riesgo","tag-risk","tag-score","tag-st","tag-stemi","tag-timi"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2490","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2490"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2490\/revisions"}],"predecessor-version":[{"id":8988,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2490\/revisions\/8988"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2490"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2490"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2490"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}