Kashif Iltaf, Muhammad Habeel Dar, Imran Khan, Umair Ali, Mohammad Hafizullah, Salman Shah.
Frequency of high TIMI score and its short term clinical outcomes.
Pak Heart J Jan ;52(1):80-4.

Objective: To determine the frequency of high thrombolysis in myocardial Infarction(TIMI) risk score and its short term clinical outcomes among patients presenting with acute ST elevation myocardial infraction. Methodology: This cross sectional study was conducted at Cardiology Department, Lady Reading Hospital, Peshawar from 1st January till 31st December, 2012. This study included cases of ST elevation myocardial infarction (STEMI). Thrombolysis in Myocardial Infarction (TIMI) risk score was calculated for each case at the time of presentation. Patients were followed during their hospital stay and immediate post discharge days for the occurrence of complications like cardiogenic shock, arrhythmias, mortality etc. Results: A total of 385 patients with acute myocardial infarction were included.Out of 385 patients, high TIMI score was found in 122 (31.84%). Out of 122 cases, males were 79(64.75 %). Mean age was 56.71 +- 10.00 years. Among 122 patients, 55(45.5%) had score of 9, 12(9.9%) had score of 10, 43(35.5%) had score of 11 and 11(9.1%) had score of 12. Ventricular fibrillation was present in 21(17.4%), VT in 15(12.4%), atrial fibrillation 1(0.8%) and complete heart block in 8(6.61%). cardiogenic shock in 29(24.0%), pulmonary edema in 33(27.3%) and In-hospital death in 22(18.2%). Post infarct Angina in 39 (32.2%),stroke occurred in 11(9.1%) and 30(24.8%) underwent revascularization. Conclusion: High TIMI risk score correlates significantly with death and complications like cardiogenic shock and arrhythmias in early post-infarction period. Frequency of complication increases with the increasing score.

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