/TIMI Score for UA/NSTEMI

TIMI Score for UA/NSTEMI

Mortality risk in non-ST elevation ACS

Total Score

0

Low Risk (5-8% all-cause mortality, MI, or severe ischemia at 14 days).

02Low
34Moderate
57High

Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.

Yasal Uyarı: Bu platformdaki klinik skorlamalar ve algoritmalar yalnızca sağlık profesyonellerini bilgilendirme amaçlıdır. Herhangi bir kesin tıbbi teşhis, tedavi veya klinik karar yerine geçemez. Nihai karar ve sorumluluk hastayı yatak başında değerlendiren hekime aittir.

Clinical Overview

The TIMI (Thrombolysis in Myocardial Infarction) Risk Score for Unstable Angina/NSTEMI predicts the 14-day risk of all-cause mortality, new myocardial infarction, or severe recurrent ischemia prompting urgent revascularization. It is a critical triage tool for determining whether an early invasive strategy (angiography) is warranted.

Clinical Pearl

Aspirin use within the last 7 days indicates plaque rupture or thrombosis despite antiplatelet therapy, thereby adding a point to the score. Even a seemingly 'low risk' TIMI score requires clinical judgment, as GRACE scores are often preferred for more precise in-hospital mortality estimation.

Pitfalls & Warnings

  • Only applies to patients already diagnosed with UA or NSTEMI; it is not a diagnostic tool for differentiating chest pain etiologies in the ED (use HEART score instead).
  • Known CAD (>50% stenosis) history might be unavailable in a patient's first presentation, artificially lowering the score.

Academic References

Antman EM, Cohen M, Bernink PJ, et al. The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making. JAMA. 2000;284(7):835-842.

Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.