![]() ![]() This study aimed to evaluate the correlation between TIMI risk score and the number of vessels involved in the angiographic study of patients presenting to emergency department following UA or NSTEMI. This is particularly important for lower-middle-income countries, which are increasingly affected by cardiovascular disease epidemic and encompass different genetics and lifestyle. Hence, the development of the TIMI risk score originated from developed countries, with limited data evaluating the effectiveness in developing countries. The TIMI score was established as one of the most commonly utilized risk assessment models in the chest pain units to warrant further workup. Patients presenting with Unstable Angina (UA) or NSTEMI that fit score 3 or more on the TIMI model are mostly recommended to undergo early invasive management with cardiac angiography and revascularization if necessary ( 9). There are seven components used in the calculation of the TIMI score. The TIMI (Thrombolysis in Myocardial Infarction) research group has introduced a specific model, the TIMI risk score assessment tool, which has been found to be predictive of the severity of vascular diseases and the potential of coronary circulation involvement in chest pain patients ( 8). Nonetheless, electrocardiogram (ECG), as the most readily available diagnostic tool in chest pain units, is not adequately helpful in decision making( 7). Choosing the best treatment in the initial stages following quick diagnosis is of great importance in improving the outcome. Several randomized clinical trials performed in the past two decades have established that immediate and complete restoration of flow in the occluded artery decreases infarct size, improves survival rates, and preserves left ventricular (LV) function ( 5, 6). Each year, three million people experience ST-segment elevation MI (STEMI) and also non-ST-segment elevation MI (NSTEMI) was estimated to occur in about four million ( 4). Myocardial infarction (MI) is known as the most severe presentation of CAD and CAD accounts for 30% of all mortalities ( 3). Despite recent developments, coronary artery disease (CAD) remains the leading cause of death across the world. DOI: doi.org/10.1161/01.CIR.Advancements of cardiac care units and revascularization methods, as well as the developments in pharmacotherapy, have led to improved patient outcomes after acute coronary syndrome (ACS) ( 1, 2). TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy. TIMI risk score accurately risk stratifies patients with undifferentiated chest pain presenting to an emergency department. HEARTORG/Conditions/HeartAttack/LifeAfteraHeartAttack/Lifestyle-Changes-for-Heart-Attack-Prevention_UCM_303934_Article.jsp#.WoySlainG71 Lifestyle changes for heart attack prevention.Application of current guidelines to the management of unstable angina and non-ST-elevation myocardial infarction. The TIMI risk score for unstable angina/non-ST elevation MIA method for prognostication and therapeutic decision making. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Last medically reviewed on March 21, 2018 Your healthcare provider should be able to explain your results in a way that you can easily understand. Talk to your doctor if you have any questions about your TIMI score. keeping cholesterol and blood pressure levels in check.avoiding cigarette smoking and limiting alcohol consumption.You can lower your score, and your risk for a heart-related event, by: For example, if your TIMI score is on the high side, your physician might want to treat your condition more aggressively or pursue other kinds of medical intervention. Your score may help your physician come up with a treatment strategy. Knowing your risk for having a heart attack or other heart-related event can be extremely helpful to your healthcare provider. This means not every person will be given a TIMI score. Doctors typically use the TIMI score on a select group of people with heart conditions that meet a certain criterion. ![]()
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