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%)