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TIMI Risk Score for STEMI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

TIMI Risk Score for STEMI

Calculation of the TIMI Risk Score for STEMI

This handy calculator computes the 30 day mortality rate using TIMI risk score for STEMI.[1]

Check all boxes that apply to your patient:

TIMI Risk Score for STEMI
Variable Score
Age ≥75 years 3
Age 65–74 years 2
History of diabetes mellitus or hypertension or angina 1
Systolic blood pressure <100 3
Heart rate >100 2
Killip class II–IV 2
Weight <67 kg 1
Anterior ST elevation or left bundle branch block 1
Time to therapy >4 hours 1
TIMI Risk Score for STEMI:
30 Day Mortality:

Interpretation of the TIMI Risk Score for STEMI

The interpretation of the score is as follows:

  • Score 0: 30 Day Mortality is 0.8%
  • Score 1: 30 Day Mortality is 1.6%
  • Score 2: 30 Day Mortality is 2.2%
  • Score 3: 30 Day Mortality is 4.4%
  • Score 4: 30 Day Mortality is 7.3%
  • Score 5: 30 Day Mortality is 12.4%
  • Score 6: 30 Day Mortality is 16.1%
  • Score 7: 30 Day Mortality is 23.4%
  • Score 8: 30 Day Mortality is 26.8%
  • Score >8: 30 Day Mortality is 35.9%

References

  1. Morrow DA, Antman EM, Charlesworth A, Cairns R, Murphy SA, de Lemos JA; et al. (2000). “TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy”. Circulation. 102 (17): 2031–7. PMID 11044416.

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