Document Detail


TIMI risk score underestimates prognosis in unstable angina/non-ST segment elevation myocardial infarction.
MedLine Citation:
PMID:  17924227     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the value of the TIMI risk score in the individual risk stratification of patients with unstable angina/non-ST segment elevation myocardial infarction (UA/NSTEMI). BACKGROUND: TIMI risk score is a validated tool to identify groups of patients at high risk for major cardiac events. Its prognostic value in individual patients with current diagnostic tools and therapy is unknown. METHODS: TIMI risk score was assessed in patients with UA/NSTEMI admitted to six Belgian hospitals and related to clinical outcome at 30 days. RESULTS: Of the 500 patients enrolled, 49.4% were placed in the low TIMI risk group (score = 0-3) and 50.6% in the high-risk group (score = 4-7). Multivariate analysis identified raised cardiac markers and invasive strategy, but not high TIMI risk score as independent predictors of death and new myocardial infarction (MI). Moreover, the incidence of death and MI in the low TIMI risk group with positive cardiac markers was not lower than in the high TIMI risk group with positive markers: 15.1% versus 17.8% (P = 0.7). CONCLUSIONS: TIMI risk score is of limited value for individual risk stratification. The presence of positive cardiac markers (troponin) appears to be a more powerful prognostic marker.
Authors:
Anne Vorlat; Marc J Claeys; Herbert De Raedt; Sofie Gevaert; Yves Vandekerckhove; Philippe Dubois; Antoine De Meester; Christiaan Vrints
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acute cardiac care     Volume:  10     ISSN:  1748-2941     ISO Abbreviation:  Acute Card Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-01     Completed Date:  2008-09-23     Revised Date:  2009-11-17    
Medline Journal Info:
Nlm Unique ID:  101276603     Medline TA:  Acute Card Care     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  26-9     Citation Subset:  IM    
Affiliation:
University Hospital Antwerp, Belgium. anne.vorlat@uza.be
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MeSH Terms
Descriptor/Qualifier:
Aged
Angina, Unstable / mortality*
Female
Health Status Indicators
Humans
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction / mortality*
Prognosis
Recurrence
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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