![]() ![]() This group of authors has well established credentials for clinical research. John's Medical College and Hospital is a large tertiary care hospital which caters predominantly to low and middle-class population. John's Medical College and Hospital, Bengaluru have presented the clinical data of 235 patients of ACS and attempted validation of GRACE risk score. In this issue of Indian Heart Journal, Prabhudesai et al. There was a significant interaction between the benefit of myocardial revascularisation during initial hospitalisation and the extent of risk evaluated by GRACE and PURSUIT scores. They have clearly demonstrated that GRACE score was the best in predicting the risk of death or MI at 1 year after admission. 7 They have looked at short-term as well as long-term mortality. ![]() from Portugal have applied the three scoring systems TIMI, GRACE, and PURSUIT to the same group of 460 patients admitted to a single centre. In an interesting study published in European Heart Journal, Gonçalves et al. On the other hand, one-vessel coronary artery disease occurs more commonly and significant statistically (P-value <0.01) in group 2 (31.7%) than in patients in group 1 (26.9%) and group 3 (10.8%).Ĭonclusion: High TIMI risk score patients were more probably to have significant multi-vessels coronary lesions in comparison with those with TIMI risk score in intermediate or low range which lead to help in stratify the risk and possibility of early intervention.ACS: acute coronary syndrome, BP: blood pressure, CCS: Canadian Cardiovascular Society, ECG: electrocardiogram, GRACE: Global Registry of Acute Coronary Events, TIMI: thrombolysis in myocardial infarction. 54.1% of patients in group 3 had significant three-vessels coronary artery disease on comparing with 17.6% of group 2 patients and only 7.5% of group 1 patients had these lesions on coronary angiography (P-value <0.01). There were 67 (27.2%) of them belong to group 1 (low risk group), 142 (57.7%) of them belong to group 2 (intermediate risk group), and 37 (15.1%) of them belong to group 3 (high risk group). Results: The total number of was 246 patients, mean age was 62.5☒.3 years. The extent of CAD was examined on coronary angiography a lesion defined significant if stenosis ≥70% in any artery of three major coronary arteries or ≥50% of left main coronary artery. Patients were rearranging into three groups according to the seven standard variables of TIMI score. Patients and Methods: A cross section study, conducted on 264 successive patients admitted with Non-ST Elevation acute coronary syndrome at Ibn-Albitar cardiac center, Baghdad, Iraq, from the 1st of October 2017 to the 1st of October 2018. Objective: To determine the role of TIMI score in prediction the severity of CAD and its extent by correlate the TIMI score with coronary angiography in patients have NSTE-ACS. However, their value in estimation the severity of coronary artery disease (CAD) has been less studied. Of these scoring risk Thrombolysis In Myocardial Infarction (TIMI) risk score have been well corroborated to predict the possible prognosis for patients with NSTE-ACS. Background: Accurate risk stratification in patient clinically presented as a case of Non-ST Elevation acute coronary syndrome (NSTE-ACS) is important to assess the prognosis as well as to estimate the possible adverse event especially in those patient who are at high risk. ![]()
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