TIMI score
Pronunciation: TIH-mee score
Thrombolysis in Myocardial Infarction risk score, used for risk stratification in acute coronary syndromes. Different versions exist for STEMI and NSTEMI/UA.
Full Definition
The Thrombolysis in Myocardial Infarction (TIMI) score is a clinical risk stratification tool developed to predict adverse outcomes in patients with acute coronary syndromes. Separate TIMI risk scores exist for STEMI and NSTEMI/unstable angina, each incorporating different clinical variables. The NSTEMI TIMI score includes factors such as age ≥65, ≥3 coronary risk factors, known coronary stenosis, aspirin use, elevated cardiac markers, ST deviation, and recent severe angina. In cardiometabolic practice, TIMI scores help identify high-risk diabetic patients who benefit from early aggressive intervention and intensive pharmacological therapy.
Usage
Usage note: Specify STEMI or NSTEMI version when referencing; different scoring systems.
In Context
- "TIMI score of 5 indicated high risk warranting early invasive management." — Risk stratification
- "The NSTEMI TIMI score guides antiplatelet therapy duration and intensity." — Treatment guideline