see also: [[TIMI]] see: [Dunn Risk stratification in ACS](x-devonthink-item://EAA8B607-66D8-464D-878F-E1A18B5B012B) [heart vs. grace vs TIMI MACE 2023 (single centre)](bookends://sonnysoftware.com/ref/DL/102937) - [Web link to article](https://www.nature.com/articles/s41598-023-44214-3) #cardiology score for [[ACS]] risk **H**x of the pain **E**CG **A**ge **R**isk factors **T**roponin - score 0-3 : 1% risk of MACE - 4-6: 15% risk of adverse cardiac event - ≥ 7: 50% risk of adverse cardiac event Risk factors: HTN, HLD, DM, obesity, smoking, + FMx (parent/sibling CVD <65), atherosclerosis: prior MI, PCI/CABG, CVA/TIA, or peripheral arterial disease | element | descripton | score | | ---------- | ---------------------------------------------------------------- | ------------------ | | Hx of pain | - slightly suspicious<br>- mod suspicious<br>- ↑ suspicious | - 0<br>- 1<br>- 2 | | ECG | - Normal<br>- non-specific repolaraisation<br>- sig ST deviation | - 0<br>- 1<br>- 2 | | Age | - <45<br>- 45-64<br>- ≥ 65 | - 0<br>- 1<br>- 2 | | Risks | - none<br>- 1-2 risk factors<br>- ≥ 3 risk factors | - 0<br>- 1<br>- 2 | | Trop | - < normal limit<br>- 1-3x normal limit<br>- >3x normal limit | - 0 <br>- 1<br>- 2 |