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TIMI Score (Thrombolysis In Myocardial Infarction)

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TIMI Score (Thrombolysis In Myocardial Infarction)

Time-to-MI

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The thrombolysis in myocardial infarction score, or TIMI score, is a simple prognostication scheme in those with unstable anginas or NSTEMIs (non-ST-elevated myocardial infarctions). It categorizes a patient's risk of death and ischemic events within 14 days and provides a basis for therapeutic decision making. 0-1 Points equates to a 3-5% risk of event, 2 Points equates to a 3-8% risk, 3 Points equates to a 5-13% risk, 4 Points gives a 7-20% risk, 5 Points gives a 12-26% risk, while 6-7 Points correlates with a 19-41% risk of event.

10 KEY FACTS

The TIMI score used in patients with unstable angina and non-ST-elevated myocardial infarction (NSTEMI), and is used to predict a patient's risk of death and ischemic events within 14 days.

The TIMI score is used in patients with unstable angina or non ST-segment elevation myocardial infarction (NSTEMI).

This scoring tool is used to predict the risk of death or ischemic events in the next 2 weeks.

Patients with an age equal to or greater than 65 are given 1 point.

Patients with elevated serum cardiac biomarkers are given 1 point.

On the patient's EKG, if ST changes that are equal to or greater than 0.5mm in contiguous leads are present, they are given 1 point towards their TIMI score.

When assessing a patient's TIMI score, having at least 3 risk factors for coronary artery disease (CAD) is worth 1 point. This includes smoking, having diabetes, a positive family history of premature cardiac disease, having dyslipidemia, and hypertension.

If the patient has ongoing ischemia, or a history of 2 anginal episodes within the last 24 hours, their TIMI score is given 1 point.

If the patient has known coronary artery disease (CAD), with coronary stenosis ≥ 50%, their TIMI score has 1 point added.

1 point is added to a patient's TIMI score if the patient experiences chest pain despite aspirin use in last 7 days.

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