{"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\/carstemi\/","title":{"rendered":"TIMI Risk Score for ST-Elevation Myocardial Infarction (STEMI)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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 class=\"MsoNormal\"><span style=\"color: black;\"> 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.<\/span><\/p>\n<p><!--more--><\/p>\n<\/div>\n<table style=\"border-collapse: collapse; width: 100%; height: 330px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong>TIMI Risk Score for STEMI<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong><em>Historical<\/em><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 42px;\">\n<td style=\"height: 42px; width: 282px;\">Age 65-74<br \/>\n&gt;\/= 75<\/td>\n<td style=\"height: 42px; width: 282px; text-align: center;\">2 points<br \/>\n3 points<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">DM\/HTN or Angina<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1 point<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong><em>Exam<\/em><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">SBP &lt; 100<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">3 points<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">HR &gt; 100<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">2 points<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">Killip II-IV<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">2 points<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">Weight &lt; 67 kg<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1 point<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 574px;\" colspan=\"2\"><strong><em>Presentation<\/em><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">Anterior STE or LBBB<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1 point<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\">Time to rx &gt; 4 hrs<\/td>\n<td style=\"height: 24px; width: 282px; text-align: center;\">1 point<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 282px;\"><strong>Risk Score = 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<div class=\"Section1\">\n<p class=\"MsoNormal\">DM, diabetes mellitus; HTN, hypertension; SBP, systolic blood pressure; HR, heart rate; STE, ST elevation; LBBB, left bundle branch block; and rx, treatment.<\/p>\n<\/div>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"189\"><strong>Risk Score<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"189\"><strong>Odds of death by 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\">* referenced to average mortality (95% confidence intervals)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<div class=\"Section1\">\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<\/div>\n<ol>\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>Created: Feb 18, 2007<\/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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/2490","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2490"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2490\/revisions"}],"predecessor-version":[{"id":8988,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2490\/revisions\/8988"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2490"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2490"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2490"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}