<67kg) (1 point) – it was proven that low body weight correlates with increased mortality. Systolic blood pressure 4 hours (1 point).īody weight less than 150lbs (appr. Killip class II-IV (2 points) – requires a thorough physical examination of the patient we use it to evaluate the heart failure grade – find out more in the paragraph dedicated to Killip class. If it's higher, it usually indicates that heart function is deteriorating. Heart rate over 100 beats per minute (2 points) – healthy heart rate (resting) ranges from 60 to 100 beats per minute. They usually contribute to the heart risk scales, such as in Framingham risk calculator. They all have different weights according to the adjusted odds ratios from logistic regression analysis - as in the original paper.Īge (2 or 3 points) – and we set apart two thresholds here, 65 and 75 years old.ĭiabetes, angina pectoris, or hypertension (1 point) are all risk factors for coronary artery disease (CAD) and overall mortality. Some predictors (criteria) are simple critical parameters some are more complex and require further patient evaluation. The TIMI STEMI risk score consists of eight different criteria. The TIMI risk score for STEMI is a weighted integer score based on 8 clinical risk indicators that can be easily ascertained at presentation (Table 1). Being such an easily applicable bedside tool that can save a patient's life, the TIMI STEMI risk score has become standard practice. Age 65 years Known coronary artery disease (CAD) (stenosis 50) 3 risk factors for CAD ASA use. It is also simple to use – an evaluation shouldn't take more than a couple of minutes, especially if you have access to the patient's monitored data. TIMI Score Calculation (1 point for each). for patients with diagnosed STEMI (not just chest pains), it has been validated numerous times since then, and the results were always favorable. That's why the TIMI for STEMI Score was created. That's why the time right after admission and even after treatment is crucial - a patient is monitored continuously for a couple of days.Īmong the group of already-at-high-risk-of-death patients, discriminating the most endangered persons and putting them under close observation in steadily monitored rooms or intensive care units can save their lives. Unfortunately, even the right treatment (like PCI – percutaneous coronary intervention) doesn't make all the risks go away. The diagnosis is severe and requires immediate, advanced medical help. It can have dozens of causes, but if the patient seeks professional emergency help, it often turns out to be myocardial infarction. Chest pain is one of the most common complaints on admission to the hospital.
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