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Correlation Between TIMI Risk Score and the Number of Vessels Involved in the Angiographic Study; a Cross-sectional

Mohammad Hasan Namazi1, Seyede Salimeh Mazloomi1, Mohammad Kalate Aghamohammadi2

  • 1Department of Cardiology, Moddares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Archives of Academic Emergency Medicine
|April 11, 2022
PubMed

Insights

The Thrombolysis in Myocardial Infarction (TIMI) score directly correlates with the number of diseased coronary vessels in patients with Unstable Angina or NSTEMI. Higher TIMI scores indicate a greater likelihood of multi-vessel coronary artery disease.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Tools

Background:

  • The Thrombolysis in Myocardial Infarction (TIMI) score is established for assessing vascular disease severity.
  • Unstable Angina (UA) and Non-ST Elevation Myocardial Infarction (NSTEMI) are critical cardiovascular conditions requiring accurate prognostic tools.

Purpose of the Study:

  • To investigate the correlation between the TIMI score and the extent of coronary artery disease (number of involved vessels).
  • To assess the predictive value of the TIMI score in patients presenting with UA or NSTEMI.

Main Methods:

  • Prospective, cross-sectional study design.
  • Inclusion of 297 patients diagnosed with UA or NSTEMI.
  • Correlation analysis between TIMI scores and angiographically determined number of diseased coronary vessels.

Main Results:

  • A significant positive correlation was observed between TIMI scores and the number of coronary vessels involved.
  • Patients with higher TIMI scores (5-7) had a substantially greater likelihood of three-vessel disease compared to those with lower scores (0-2 or 3-4).
  • Elevated TIMI scores (3-4 and 5-7) were also associated with an increased likelihood of two-vessel disease compared to the lowest score group (0-2).

Conclusions:

  • The TIMI score serves as a valuable indicator of coronary artery disease burden in patients with UA and NSTEMI.
  • A direct and statistically significant relationship exists between the TIMI score and the number of coronary vessels affected.
  • This finding supports the utility of the TIMI score in risk stratification and management decisions for these patients.
Abstract

Keywords:
Coronary CirculationMyocardial InfarctionNon-ST Elevated Myocardial InfarctionRisk Assessment

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