Princess Alexandra Hospital, Brisbane, Queensland, Australia

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Popular ACS Risk ScoresTIMI - STEMI (Circulation 2000)• Derived from InTIME II trial of nPA• n = 14 114• Primary end-point 30-d d mortality6.7%• 91% of deaths occurred in-hospital
Risk Score & Gradient
Page 1 and 2: Richard LimMBBS, MD, MPhil, MRCP(UK
Page 3: Prognosis in Acute Coronary Syndrom
Page 6 and 7: Prognosis in Acute Coronary Syndrom
Page 8 and 9: What Are ACS Risk Scores For?• In
Page 10: What Are ACS Risk Scores For?• To
Page 13: What Are ACS Risk Scores For?• In
Page 17: Popular ACS Risk ScoresTIMI - NSTEA
Page 20 and 21: Yan et al. Eur Heart J 2007; 28: 10
Page 22: Popular ACS Risk ScoresGRACE - STEM
Page 25 and 26: Worst Case Scenario (contd)• Intu
Page 27 and 28: Expected GRACE in-hospital mortalit
Page 29 and 30: GRACE 4.6%129
Page 31 and 32: Hypothetical (contd)• 39 yr old m
Page 34 and 35: 4.8%4.8%Max 263
Page 36 and 37: PRISM-PLUS: TIMI score & Cath withi
Page 38 and 39: TIMI, PURSUIT & GRACE risk scores i
Page 41 and 42: Intervention in acute coronary synd
Page 44 and 45: Conclusions• Risk assessment shou
Page 46 and 47: Conclusions• Some patients at hig
Page 48: Conclusions• No perfect ACS risk

Princess Alexandra Hospital, Brisbane, Queensland, Australia

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