TIMI RISK SCORE FOR UA/NSTEMI

Risk score for prognostication and therapeutic decision making in patients with unstable angina/NSTEMI.

Age ≥ 65
+1
Number CAD Risk Factors ≥ 3
 
(CAD risk factors: hypertension, smoking, diabetes mellitus, family history of CAD)
+1
Known CAD (≥ 50% stenosis)
+1
ASA use in past 7 days
+1
Severe Angina > 2 episodes in 24 hours
+1
EKG ST changes ≥ 0.5 mm
+1
Positive Cardiac Marker - CKMB or Troponin
+1
Derivation Reference:

Antman, E.M., Cohen. M., Bernink, P.J.L.M., McCabe, C.H., Horacek, T., Papuchis, G., Mautner, B., et al. The TIMI Risk Score for Unstable Angina/Non–ST Elevation MI: A Method for Prognostication and Therapeutic Decision Making. JAMA 284, no. 7 (August 16, 2000): 835–42. doi:10.1001/jama.284.7.835.

Validation Reference:

Pollack, C.V., Sites, F.D., Shofer, F.S., Sease, K.L., Hollander, J.E. Application of the TIMI Risk Score for Unstable Angina and Non-ST Elevation Acute Coronary Syndrome to an Unselected Emergency Department Chest Pain Population. Academic Emergency Medicine 13, no. 1 (January 1, 2006): 13–18. doi:10.1197/j.aem.2005.06.031.