#TIMI RISK SCORE CHEST PAIN WINDOWS#

In our study the power of the TIMI score in predicting the Gensini score was evaluated, and a correlation was identified (p4 and more than 70% of vessel occlusion. In this study, the TIMI score was also evaluated, and a higher TIMI score was associated with increased mortality. Giglioli et al., retrospectively evaluated 517 patients undergoing percutaneous coronary intervention (PCI), and found no statistically significant difference in mortality or cardiac ischemia with respect to presentation at the hospital and initial time of symptoms. The point risk correlations are as follows: 0/1 points, as 4.7% risk, 2 points 8.3% risk, 3 points 13.2% risk, 4 points 19.9% risk, 5 points 26.2% risk, and 6/7 points 40.9% risk. Each of the following risk factors are evaluated and calculated 1 score: Age 65 and over, presence of 3 or more risk factors, coronary artery narrowing greater than 50%, history of use of acetyl salicylic acid in the last 7 days, chest pain in the last 24 hours, presence of ST change greater than 0.5 mm, and increase in cardiac markers. In patients presenting to the emergency room with unstable angina pectoris, non-ST elevation MI, the MI risk, death, and emergency revascularization risk in 14 days must be calculated. P value less than 0.05 were considered as significant. For the analysis of the statistical significance of the difference between multiple group means, the one-way ANOVA test was used. For groups with no normal distribution, the Mann-Whitney U test was used. The statistical significance of the difference between independent groups with normal distribution was tested using the independent samples t-test. For qualitative variables, number counts and percentages are given. For numeric variables we present descriptive statistics, mean, standard deviation, median, and minimum and maximum values. The relationship between the TIMI and Gensini scores was tested using Spearman’s rho correlation coefficient. The relationship between qualitative variables was analyzed using the chi-square test. For multiple comparisons, LSD (least significant difference) test, Kruskal-Wallis test, and Z-Value Test (Dunn’s Test) were used. When the Gensini scores showed normal distribution, the presence of statistically significant difference was tested using the one-way analysis of variance when distribution was not normal, the Kruskal-Wallis test was used. They were further sub-classified into 7 groups with respect to their TIMI scores. The patients were included in the study according to whether they underwent coronary angiography.

#TIMI RISK SCORE CHEST PAIN WINDOWS#

The data obtained were evaluated using SPSS 15.0 for Windows and NCSS 2007. In this study, we evaluated the power of the TIMI score in predicting the postangiography Gensini score, and the power of TIMI and Gensini scores in predicting the treatment plans after coronary angiography. According to the angiographic degree of stenosis, narrowing between 0–25%, 25–50%, 50–75%, 75–90%, 90–99%, and 100%, stenosis is scored as, 1, 2, 4, 8, 16, and 32 points, respectively. These techniques have been described by Gensini. There are 2 coronary angiography scores: vascular scoring and stenosis scoring. Another parameter used to evaluate the severity of coronary artery disease is the Gensini score. By using this score, one can calculate the risk of MI, as well as risk of death and emergency revascularization at 14 days, in unstable angina pectoris, non-ST elevated MI (myocardial infarction) patients. The most commonly used scoring system to identify the risk of heart attack in patients presenting to the emergency room is the TIMI (Thrombolysis In Myocardial Infarction) risk score. Acute coronary syndrome (ACS) occurs due to myocardial ischemia and presents with symptoms and clinical findings.

Timi risk score chest pain