What is TIMI SCORE?
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A good question, I will answer it simply so that we all (including me benefit from it).
You see, whenever a patient who has a past history of MI, CABG etc. and he complains of symptoms resembling those of another infarct, you do an EKG. Might be an acute change of doubtful nature is present, run cardiac enzymes, Trop I, and Trop T.
If the symptoms are there and any one of the above test is +ve , you put the patient on ACS PROTOCOL and treatment is started.
NOTHING TO DO THE FIGURES IT CAN BE CALLED A SAFETY MEASURE.
Hope answered the question.
TIMI (per Steadman's Medical Dictionary - Acronym for thrombolysis in myocardial infarction; a large multicenter controlled clinical trial.)
TIMI Risk Score (per Steadman's Medical Dictionary - abbreviation for thrombolysis in myocardial infarction risk score. A simple integer score for bedside risk stratification of patients with acute myocardial infarction (MI). Point values are assigned to each of a set of independent prognostic variables (e.g., age, diabetes mellitus, history of hypertension, history of angina, ST segment elevation), and the sum of points is the score. Several studies have validated the score as a measure of risk of all-cause mortality and recurrent MI; predictors have varied slightly between studies.)
It is hard to pull Steadman's up online unless you have access to an account for it.
Assessing chest pain:
TIMI stands for 'Thrombolysis In Myocardial Infarction
'TIMI Grade Flow' is a widely adopted scoring system from 0-3 referring to levels of coronary blood flow assessed during percutaneous coronary angioplasty:
1. TIMI 0 flow (no perfusion) refers to the absence of any antegrade flow beyond a coronary occlusion.
2. TIMI 1 flow (penetration without perfusion) is faint antegrade coronary flow beyond the occlusion, with incomplete filling of the distal coronary bed.
3. TIMI 2 flow (partial reperfusion) is delayed or sluggish antegrade flow with complete filling of the distal territory.
4. TIMI 3 flow (complete perfusion) is normal flow which fills the distal coronary bed completely
Click these links if you would like more info:
http://www.americanheartassociation.com/...
http://en.wikipedia.org/wiki/timi...
http://www.reference.com/search?q=timi%2...
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