![]() ![]() Post-myocardial infarction arrhythmias were noted in 33 (16.09%) patients in the low-risk group and six (4%) patients in the moderate-risk group. Of the 369 patients, 205 (55.6%) were included in the low-risk group, 150 (40.7%) in the moderate-risk group, and 14 (3.8%) in the high-risk group. A total of 174 (47.2%) patients were smokers, 79 (21.4%) were obese, and 93 (25.2%) had hyperlipidemia. Results The study included 285 male patients (77.2%) and 84 (22.8%) female patients. The frequency of complications of anterior wall myocardial infarction at the time of discharge was compared among these groups. Patients were divided into three groups: low-risk, moderate-risk, and high-risk TIMI groups. The TIMI score was calculated by proforma at the time of admission. A total of 369 patients were selected who had anterior wall myocardial infarction and received thrombolytic therapy, according to the inclusion and exclusion criteria. The study duration was six months, from Septemto March 23, 2017. Materials and methods An observational case series study was conducted in the Department of Cardiology at Sandeman Provincial Hospital in Quetta, Pakistan. This study was designed to determine the frequency of cardiac complications of anterior wall STEMI assessed on TIMI risk score and to compare the rate of cardiac complications according to the TIMI score. The Thrombolysis in Myocardial Infarction (TIMI) risk score for ST-segment elevation myocardial infarction (STEMI) is based on eight high-risk parameters that can be used at the bedside for risk stratification of patients presenting with STEMI. TIMI 2 flow (partial reperfusion) is delayed or sluggish antegrade flow with complete filling of the distal territory.Introduction and objective Effective risk stratification is integral to the management of acute coronary syndromes.TIMI 1 flow (penetration without perfusion) is faint antegrade coronary flow beyond the occlusion, with incomplete filling of the distal coronary bed.TIMI 0 flow (no perfusion) refers to the absence of any antegrade flow beyond a coronary occlusion.'TIMI Grade Flow' is a scoring system from 0-3 referring to levels of coronary blood flow assessed during percutaneous coronary angioplasty: TIMI risk can be calculated on the TIMI website under "Clinical Calculators." 'TIMI risk' estimates mortality following acute coronary syndromes. % risk at 14 days of: all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization. ST changes of at least 0.5mm on admission EKG At least 2 angina episodes within the last 24hrs Or female first-degree relative or mother less than 65). (CAD in male first-degree relative, or father less than 55, Such as: Hypertension -> 140/90 or on antihypertensives, Known Coronary Artery Disease (CAD) (coronary stenosis >= 50%) Aspirin use in the last 7 days (patient experiences chest pain despite ASA use in past 7days) TIMI Score Calculation (1 point for each): It is used to categorize a patient's risk of death and ischemic events and provides a basis for therapeutic decision making. The TIMI Risk Score is used in patients with U nstable Angina / Non-ST Elevation Myocardial Infarction. It has conducted numerous practice-changing clinical trials in patients with cardiovascular disease or risk factors for cardiovascular disease TIMI stands for ' Thrombolysis In Myocardial Infarction' and is the name of an Academic Research Organization (ARO) which was founded by Dr. ![]()
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