![]() Patients in a coma or condition of unconsciousness iii) patientsĪnd family do not cooperate with the follow-up. Patients diagnosed with non-(N)STEMI or unstable angina ii) The exclusion criteria were as follows: i) The patient and family must be willing to participate and signed Intervention (PCI) iv) survival of the patient in the hospital v) Iii) revascularization treatment of percutaneous coronary Xianyang Hospital of Yan'an University (Shanxi, China) between JuneĢ013 and July 2014 meeting the following criteria were enrolled: i)Īge of 18-80 years ii) examination with digital subtractionĪngiography and diagnosis of STEMI and multiple vessel disease ![]() Study, all patients encountered from Department of Cardiology, In the present prospective observational cohort Patents with ST-elevation myocardial infarction and multiple vessel The present study aimed to investigate theĮfficacy of TIMI risk index in prediciting long-term outcomes of Has rarely been investigated, particularly for patients with The value of the TIMI risk index in long-term outcome prediction TIMI risk index holds value in predicting early mortality of Pressure (SBP), the TIMI risk index has been used to predict SYNTAX score, the thrombolysis in myocardial infarction (TIMI) riskĬalculated using only the age, heart rate and systolic blood Is widely applied in evaluating the severity of ACS and predicting With the extent of coronary disease assessed by the SYNTAX score,Īnd they could predict obstructive CAD but not severe disease.ĭepending on coronary angiography, the SYNTAX score In addition,ĭemonstrated that the GRACE and TIMI scores correlated moderately TIMI and GRACE scores in predicting 30-day MACE. GRACE scores for the prediction of 30-day major adverse cardiacĮvents in patients with high acuity chest pain in the emergencyĭepartment and found that the HEART score to be superior to the However, those tools haveĬertain disadvantages, including unstable performance, complexĬalculation and low predictive value. Risk stratification helps to identify high-risk Various tools have beenīeen used ( 4, 5) for predicting outcomes for patients Long-term outcomes of STEMI areĪssociated with complex factors, including demographics,Ĭomorbidities and severity of STEMI. Vessel disease have a higher mortality and morbidity ( 2). Remains the most dangerous type of acute coronary syndrome (ACS),Ĭausing >30% of all mortalities and significantly increasing theįamilial and social health burden ( 1). ST-segment elevation myocardial infarction (STEMI) In conclusion, the TIMI risk index was associated with long‑term outcomes for patients with STEMI and multiple‑vessel disease and may be of value for risk prediction. Multivariate Cox regression analysis demonstrated that a high TIMI risk index was an independent risk factor for all‑cause death in patients with STEMI and multiple‑vessel disease (hazard ratio=3.709, 95% CI: 1.521‑9.046, P=0.004). The high TIMI group (>30.35) and low TIMI group (<30.35) exhibited a significant difference in all‑cause death (P=0.009) but not in any of the secondary endpoints (P=0.527). The ROC curve indicated that the TIMI risk index was associated with three‑year all‑cause death with a cut‑off value of 30.35 (area under curve, 0.705 P=0.001). Kaplan‑Meier survival curves were used to compare the long‑term survival of the two groups and multivariate Cox regression analysis was used to evaluate the predictive value of the risk factors regarding primary and secondary endpoints. A receiver operating characteristic (ROC) curve was used to determine the cut‑off value of the TIMI risk index for predicting all‑cause death, based on which the patients were divided into a high TIMI group and a low TIMI group. A five‑year follow‑up was performed to record the primary endpoint of all‑cause mortality, as well as the secondary endpoints of myocardial infarction, stroke, emergent revascularization and admission due to heart failure. In the present study, a total of 369 patients diagnosed with STEMI who received emergency percutaneous coronary intervention treatment were analyzed. However, the predictive value of the TIMI risk index regarding the long‑term outcome for patients with STEMI with multiple vessel disease has remained to be determined. The thrombolysis in myocardial infarction (TIMI) risk index has been indicated to be a simple and useful tool for risk stratification of patients with ST‑elevation myocardial infarction (STEMI).
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