Timi score vs heart score9/2/2023 ![]() Podem prever uma DC obstrutiva, mas não uma doença grave. Os scores GRACE e TIMI estão ligeiramente correlacionados com a extensão da doença coronária avaliada pelo score Syntax. Um score GRACE=120 e um score TIMI=2 foram fatores preditores da DC obstrutiva com uma sensibilidade de 57% e de 75,7% respetivamente e uma especificidade de 61,8% e de 47,9%. Ambos os scores clínicos podem de certo modo prever DC obstrutiva ( score GRACE: AUC=0,599 (p=0,015) score TIMI: AUC=0,639 (p=0,001), mas não uma doença grave. Além disso, houve uma correlação significativa positiva entre os scores GRACE e Syntax (r=0,23, p<0,001), assim como entre os scores TIMI e Syntax (r=0,2, p=0,002). O valor do score Syntax foi superior nos doentes de alto risco (escore GRACE: p<0,001 e o score TIMI: p=0,001). O teste Pearson foi usado para avaliar a correlação entre os scores. Uma DC grave é definida por um score syntax >32. Definimos DC obstrutiva quando a obstrução da DC é ≥ 50% no tronco comum e ≥ 70% nos outros vasos. A gravidade da DC foi avaliada durante o score Syntax. Métodosįoram consecutivamente avaliados 238 doentes admitidos para NSTE-ACS e submetidos a angiografia coronária durante o internamento. O nosso objetivo é avaliar a relação entre esses scores e a extensão da doença coronária. No entanto, o seu valor na previsão de doença coronária (DC) está mal estudado. Os scores GRACE e TIMI foram convenientemente validados na avaliação do prognóstico de síndrome coronária aguda sem elevação do segmento-ST (NSTE-ACS). They can predict obstructive CAD but not severe disease. The GRACE and TIMI scores correlate moderately with the extent of coronary disease assessed by the SYNTAX score. A GRACE score of 120 and a TIMI score of 2 were predictive of obstructive CAD with, respectively, a sensitivity of 57% and 75.7% and a specificity of 61.8% and 47.9%. Both clinical scores can predict obstructive CAD moderately well (area under the curve for GRACE score: 0.599, p=0.015 TIMI score: AUC 0.639, p=0.001) but not severe disease. Moreover, there was a significant positive correlation between the GRACE and SYNTAX scores (r=0.23, p<0.001) as well as between TIMI and SYNTAX (r=0.2, p=0.002). The SYNTAX score was higher in patients at high risk (GRACE score: p<0.001 and TIMI score: p=0.001). The Pearson test was used to assess the correlation between scores. Severe CAD was defined as a SYNTAX score >32. Obstructive CAD was defined as ≥50% stenosis in the left main or ≥70% stenosis in other vessels. The severity of CAD was assessed using the SYNTAX score. We analyzed 238 consecutive patients admitted for NSTE-ACS and undergoing a coronary angiogram during hospitalization. We aimed to assess the relationship between these scores and the extent of coronary disease. However, their value in predicting coronary artery disease (CAD) has been little studied. ![]() Studying for Step 3? Here's the most useful resources.The GRACE and TIMI scores have been well validated for assessment of prognosis in non-ST-elevation acute coronary syndrome (NSTE-ACS). UCSD Practical guide to clinical medicine Links for help with getting through residency: No links or images linking to the NP or PA subs posted for targeted harassment. No targeted harassment against individuals or organizations.Ĩ. No personal agendas, spam, or links to websites for brigading.ħ. B) If you message the moderators about a removed post you must link the post in your message or will be ignoredĦ. A) New and anonymous accounts are welcome but posts and comments may be delayed as they must be approved manually.ĥ. No protected health information or personal information.ĥ. No questions about applying to residency or medical school. No questions pertaining to medical school. ![]() No "What are my chances?" or similar threads. If you have any suggestions to make the sub better, please message the moderator.Ģ. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through! ![]() This is a sub dedicated to resident physicians in training. ![]()
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