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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