Directing appropriate treatment strategies to the right individuals is a clinical challenge. It is increasingly understood that personalised medicine that takes these factors into account achieves superior results than “one-size-fits-all” approaches, which may ignore, for example, individual risk of ischaemia or propensity to bleed with antithrombotics. 2Ī variety of individual factors and circumstances other than clinical presentation and treatment type contribute to determining the outcome of CAD. Guideline-directed medical therapy and revascularisation using percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) are the main treatment strategies across the spectrum of CAD. unstable angina, non-ST-elevation MI and ST-elevation myocardial infarction ). chronic angina pectoris) to acute coronary syndromes (ACS), which encompass a variety of clinical scenarios (e.g. 1 Based on clinical presentation and prognosis, CAD spans from stable presentations (e.g. DOI: doi.org/10.1161/01.CIR.Although a combination of multiple strategies to prevent and treat coronary artery disease (CAD) has led to a relative reduction in cardiovascular mortality over recent decades, CAD remains the greatest cause of morbidity and mortality worldwide. TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy. TIMI risk score accurately risk stratifies patients with undifferentiated chest pain presenting to an emergency department. HEARTORG/Conditions/HeartAttack/LifeAfteraHeartAttack/Lifestyle-Changes-for-Heart-Attack-Prevention_UCM_303934_Article.jsp#.WoySlainG71 Lifestyle changes for heart attack prevention.Application of current guidelines to the management of unstable angina and non-ST-elevation myocardial infarction. The TIMI risk score for unstable angina/non-ST elevation MIA method for prognostication and therapeutic decision making. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Last medically reviewed on March 21, 2018 Your healthcare provider should be able to explain your results in a way that you can easily understand. Talk to your doctor if you have any questions about your TIMI score. keeping cholesterol and blood pressure levels in check.avoiding cigarette smoking and limiting alcohol consumption.You can lower your score, and your risk for a heart-related event, by: For example, if your TIMI score is on the high side, your physician might want to treat your condition more aggressively or pursue other kinds of medical intervention. Your score may help your physician come up with a treatment strategy. Knowing your risk for having a heart attack or other heart-related event can be extremely helpful to your healthcare provider. This means not every person will be given a TIMI score. Doctors typically use the TIMI score on a select group of people with heart conditions that meet a certain criterion.
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