MDCalc

TIMI Risk Score for STEMI

Estimates mortality in patients with STEMI.

Age
Diabetes, Hypertension or Angina
Systolic BP < 100 mmHg
Heart rate > 100
Killip Class II-IV
JVD or any pulmonary exam findings of CHF
Weight < 67kg (147.7 lbs)
Anterior ST Elevation or LBBB
Time to treatment > 4 hours

Result:

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Management

STEMI patients should obviously undergo PCI or thrombolysis, depending on availability and standard of care at one’s hospital; risk stratification can be performed after this most critical first step.