see also: [[HEART score]]
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
1 point for each:
- age > 65
- ≥ 3 coronary risk factors
- prior angiographic coronary obstruction > 50%
- ST-segment deviation
- ≥ 2 episodes of angina within 24 hours
- use of aspirin within 7 days
- elevated cardiac biomarkers
**14 day adverse cardiac event rate:**
| TIMI score | rate (%) |
| ---------- | -------- |
| 0 | 1.7 |
| 1 | 5 |
| 2 | 8 |
| 3 | 13 |
| 4 | 20 |
| 5 | 25 |
| 6-7 | 40 |
*Limitations in ED:*
- no weighting of risk factors in the score
- most of the predictive power appears to be in elevation of cardiac biomarker
-