The TIMI for STEMI and NSTEMI was developed to predict the 30-day and 14-day mortality, respectively. TIMI risk score correlates well with the frequency of electrical or mechanical complications and death after STEMI. Background Conventional risk score for predicting short and long-term mortality following an ST-segment elevation myocardial infarction (STEMI) is often not population specific. The TIMI risk scores for STEMI and NSTEMI were used in this study 4,33. External validation in the TIMI 9 trial showed similar prognostic capacity (c statistic 0.746). Frequency of complications and death correlated well with TIMI risk score (p = 0.001). Several scores have recently been proposed, derived either from clinical trials (eg, the Thrombolysis in Myocardial Infarction TIMI score, 1,2 the Platelet glycoprotein IIb/IIIa in Unstable angina: Receptor Suppression Using Integrilin Therapy trial PURSUIT score, 3 the Intravenous nPA Treatment of Infarcting Myocardium Early II InTIME II. BACKGROUND: In most studies, the agreeable risk scores for ST-elevation myocardial infarction (STEMI) consist of thrombolytic in myocardial infarction. The prognostic performance of the risk score was stable over multiple time points (1 to 365 days). Post MI arrhythmias were noted in 2.2%, 16% and 50% cardiogenic shock in 6.7%, 16% and 60% pulmonary edema in 6.7%, 20% and 80% mechanical complications of MI in 0%, 8% and 30% death in 4.4%, 8%, and 60% of patients belonging to low-risk, moderate-risk and high-risk groups respectively. A simple risk index based on age and vital signs (heart rate × age/102/systolic blood pressure) developed from patients with STEMI accurately predicts. The frequencies of complications and deaths were compared among the three risk groups. The patients were divided into three risk groups, namely 'low-risk', 'moderate-risk' and 'high-risk' based on their TIMI scores (0-4 low-risk, 5-8 moderate-risk, 9-14 high risk). TIMI risk score was calculated for each case at the time of presentation and were then followed during their hospital stay for the occurrence of electrical and mechanical complications as well as mortality. The study included 160 cases of STEMI eligible for thrombolysis. To evaluate the prognostic significance of TIMI risk score in a local population group of acute STEMI. The Thrombolysis in Myocardial Infarction (TIMI) risk score for ST-segment elevation myocardial infarction (STEMI) is a simple integer score based on 8 high-risk parameters that can be used at the bedside for risk stratification of patients at presentation with STEMI. Effective risk stratification is integral to management of acute coronary syndromes (ACS).
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