cliot (version 1.0.0)

timi_ua_nstemi_score: TIMI Risk Score for UA/NSTEMI

Description

Calculates the TIMI Risk Score for Unstable Angina (UA) and Non-ST Elevation Myocardial Infarction (NSTEMI). This score estimates the 14-day risk of all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization based on seven clinical risk factors.

Usage

timi_ua_nstemi_score(age, risk_factors_cad_ge_3, known_cad_stenosis,
                     aspirin_use_7d, severe_angina_24h, st_deviation,
                     positive_cardiac_marker)

Value

A list containing:

TIMI_Score

The calculated total score (Range 0-7).

Risk_Composite_14_Day

Estimated percentage risk of the composite outcome (death, new/recurrent MI, or urgent revascularization) at 14 days.

Arguments

age

Numeric. Patient age in years. (>= 65 adds 1 point).

risk_factors_cad_ge_3

Numeric (0 or 1). Presence of 3 or more risk factors for CAD (Family history, Hypertension, Hypercholesterolemia, Diabetes, Active Smoker). (1 = Yes, +1 point).

known_cad_stenosis

Numeric (0 or 1). Known CAD (stenosis >= 50%). (1 = Yes, +1 point).

aspirin_use_7d

Numeric (0 or 1). Aspirin use in the past 7 days. (1 = Yes, +1 point).

severe_angina_24h

Numeric (0 or 1). Severe angina (>= 2 episodes in 24 hours). (1 = Yes, +1 point).

st_deviation

Numeric (0 or 1). ST-segment deviation >= 0.5 mm. (1 = Yes, +1 point).

positive_cardiac_marker

Numeric (0 or 1). Elevated serum cardiac markers (CK-MB or Troponin). (1 = Yes, +1 point).

References

Antman EM, Cohen M, Bernink PJ, et al. The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making. JAMA. 2000;284(7):835-842. doi:10.1001/jama.284.7.835

Examples

# Example 1: High Risk
# 70yo (+1), Aspirin (+1), Severe Angina (+1), ST changes (+1), Positive Troponin (+1)
# Score = 5
timi_ua_nstemi_score(70, 0, 0, 1, 1, 1, 1)

# Example 2: Low Risk
# 50yo, No Hx, No Aspirin, Angina (+1), No ST changes, Negative Troponin
# Score = 1
timi_ua_nstemi_score(50, 0, 0, 0, 1, 0, 0)