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Thrombolysis in Myocardial Infarction (TIMI) risk score for non-ST elevation acute coronary syndrome

Thrombolysis in Myocardial Infarction (TIMI) risk score for non-ST elevation acute coronary syndrome
Rates of all-cause mortality, myocardial infarction, and severe recurrent ischemia prompting urgent revascularization at 14 days after randomization according to the number of risk factors among patients with a non-ST elevation acute coronary syndrome in TIMI 11B and ESSENCE. The risk factors were age ≥65 years; presence of at least three risk factors for coronary disease; prior coronary stenosis of ≥50 percent; presence of ST segment deviation on admission electrocardiogram; at least two anginal episodes in prior 24 hours; use of aspirin in prior seven days; and elevated serum cardiac biomarkers. Event rates increased significantly as the TIMI risk score rose. Patients are considered to be at low risk with a score of 0 to 2, intermediate risk with a score of 3 to 4, and high risk with a score of 5 to 7.
Adapted from: Antman EM, Cohen M, Bernink PJ, et al. The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making. JAMA 2000; 284:835.
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