Application of the TIMI Risk Score for Unstable Angina and Non‐ST Elevation Acute Coronary Syndrome to an Unselected Emergency Department Chest Pain Population

• DOI: 10.1197/j.aem.2005.06.031
• Publication Date: 2005-12-20T01:44:00Z
• Authors: Charles V. Pollack; Frank D. Sites; Frances S. Shofer; Keara L. Sease; Judd E. Hollander
• Keywords: TIMI; Unstable angina

Patients presenting with chest pain or related symptoms suggestive of myocardial ischemia, without ST-segment elevation (NSTE) on their electrocardiograms, often present a diagnostic challenge in the emergency department (ED). Prompt and accurate risk stratification to identify those patients NSTE who are at highest for adverse events is essential, however, optimal management. Although validated used frequently already enrolled acute coronary syndrome trials, Thrombolysis Myocardial Infarction (TIMI) score never has been examined its value an all-comers, non-trial-based ED population.An analysis ED-based prospective observational cohort study was conducted 3,929 adult warranting evaluation electrocardiogram. These had TIMI scores determined presentation. The main outcome composite death, infarction (MI), revascularization within 30 days.The presentation successfully risk-stratified this unselected respect 30-day outcome, range from 2.1%, 0, 100%, 7. correlation individual indicator elevated cardiac biomarker admission. Overall, similar performance characteristics that seen when applied other databases clinical trials registries using 14-day end point.The may be useful tool syndrome.