![]() ![]() GRACE Score among Six Risk Scoring Systems (CADILLAC, PAMI, TIMI, Dynamic TIMI, Zwolle) Demonstrated the Best Predictive Value for Prediction of Long-Term Mortality in Patients with ST-Elevation Myocardial Infarction. Littnerova S, Kala P, Jarkovsky J, Kubkova L, Prymusova K, Kubena P, et al. Effectiveness of primary percutaneous coronary intervention compared with that of thrombolytic therapy in elderly patients with acute myocardial infarction. Mehta RH, Sadiq I, Goldberg RJ, Gore JM, Avezum Á, Spencer F, et al. Trends in presenting characteristics and hospital mortality among patients with ST elevation and non-ST elevation myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006. Rogers WJ, Frederick PD, Stoehr E, Canto JG, Ornato JP, Gibson CM, et al. Therefore, the prognostic TIMI risk score is a robust tool in predicting both in-hospital as well as post-discharge mortality in elderly females. Increased adverse outcomes were observed with higher TIMI risk score for in hospital and post-discharge follow-up. The predictive values (area under the curve) of TIMI risk score for in-hospital and post-discharge mortality were 0.709 (95% CI 0.591-0.827 p <0.001) and 0.689 (95% CI 0.608-0.770 p <0.001), respectively. The mortality rate increased from 5.6% at the score of 0-4 to 54.5% at the score of 8. On follow-up (16.43☗.40 months) of 211 (55.8%) patients, the overall mortality rate was 20.3%, and this was also associated with TIMI score (p<0.001). ![]() The in-hospital mortality rate increased from 3.1% at TIMI score of 0-4 to 34.6% at the score of 8. In-hospital mortality rate was 6.4% (26) and was found to be associated with TIMI score (p<0.001). The mean TIMI score was 5.25☑.45 with 40.3% (163) patients of TIMI score > 5. ![]() The primary outcome was in-hospital mortality and post-discharge mortality reported on telephonic follow-up.Ī total of 404 elderly women with a median age of 70 years were included. Patients' demographic details and elements of TIMI risk score including age, co-morbidities, Killip classification weight, anterior MI and total ischemic time were extracted from hospital records. This was a retrospective analysis of elderly (>65 years) female patients who underwent PPCI for ST-elevated myocardial infarction (STEMI) from October 2016 to September 2018. This study was conducted to validate the predictive value of Thrombolysis in Myocardial Infarction (TIMI) risk score in elderly female patients. ![]() Key words: Acute myocardial infarction, Coronary artery disease, TIMI Risk Score, In-Hospital Mortality.Despite women undergoing primary percutaneous coronary intervention (PPCI) having a higher rate of adverse outcomes than men, data evaluating prognostic risk scores, especially in elderly women, remains scarce. Therefore, the prognostic TIMI risk score is a powerful tool for predicting hospitalized patients. Hospital in mortality 11(3%) cases was associated with hypertension and diabetes.Ĭonclusion: This study show that a significant number of patients were observed adverse outcomes associated with higher TIMI risk score for in hospital. Onset of symptoms to the arrival to emergency room for treatment was ≤4 hours 201 (54.9%) cases and >4 hours in 165(45.1%) cases. Main risk factors were hypertension 230 (62.8%) cases, diabetes 198(54.1%) cases and smoking 167 (45.6%) cases. Results: 270 (73.8%) were males and 96 (26.2%) were females with male to female ratio 2.8:1. A proforma was filled out for the said subjects that encompasses continuous and categorical variables including age, gender, family history of coronary artery disease, smoking history, diabetes, hypertension, dyslipidemia, systolic and diastolic blood pressure, heart rate, onset symptoms to emergency room (whether >4 hours or ≤4 h), location of myocardial infarction, drugs given prior to angioplasty, success of angiography, culprit vessel, number of diseased vessels, and in-hospital outcomes. Methods: Three hundred and sixty six acute STEMI patients who admitted through emergency and underwent primary angioplasty were enrolled. Ruth KM Pfau, Civil Hospital Karachi from 1 st October 2017 to 31 st March 2019. Place and duration of study: Catheterization Laboratory of Cardiology Unit, Dr. Syed Dilbahar Ali Shah, Arshad Ali Shah, Afzal Qasim, Muhammad Sami Khan, Faisal Ahmed, Adnan WahidĪim: To determine the association between TIMI risk score and in-hospital mortality and adverse events in acute STEMI patients undergoing primary PCI at a tertiary cardiac care facility. ![]()
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