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Acute Coronary Syndrome Cardiology Grace Risk Score Medicine Physiotherapy TIMI Risk Score

TIMI Risk Score and Grace Risk Score (Acute Coronary Syndrome)

In this article we will discuss TIMI Risk Score and Grace Risk Score (Acute Coronary Syndrome)

In this article, we will discuss TIMI Risk Score and Grace Risk Score (Acute Coronary Syndrome). So, let’s get started.

  • TIMI Risk Score
  • Indicators of 35 days composite events risks (mortality or new, reMi, or severe recurrent ischemia requiring urgent revascularization through 14 day after admission).
  • Age >65 years
  • At least three risk factors
  • Prior coronary stenosis >50%
  • ST-segment deviation on ECG presentation
  • At least >2 anginal events in the preceding 24 hours
  • Aspirin treatment in the prior 7 days
  • Increased cardiac biomarkers
  • Prior congestive heart failure, MI, CABG or PCI
  • Each characteristics qualifies for one point in the risks score
  • 0-1: %4.7; 3; 3 %13.3
  • 6-7: %40.9
  • Grace Risk Score
  • (All cause mortality risk in hospital and at 6 months)
  • Killip class (heart failure)
  • Arterial blood pressure
  • ST deviation on ECG
  • Cardiac arrest
  • Increased creatinine concentration
  • Increased CK-MB or troponin concentration
  • Heart rate
  • Risk score >140 (in hospital death >3%)
  • Risk score >118 (at 6 month 8%)

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