CV Risk

Question 1

What are the TIMI criteria?

Answer 1

Age >65
>3 CAD risk factors
Known CAD (Stenosis >50%)
ASA use in past 7 days
Severe angina (>2 episodes in 24hrs)
ST changes >0.5mm
Positive Troponin

Question 2

What is HEART Score used for?

Answer 2

Predicts 6 week risk of MACE, defined as all-cause mortality, MI, or coronary revascularization. Low risk is a score of 0-3.

Question 3

What are the elements of the HEART Score?

Answer 3

History: Highly Suspicious (+2), Moderately (+1), Slightly Suspicious (0)
ECG: Significant STD (+2), Non-specific repolarization disturbance (+1), Normal (0)
Age: >65 (+2), 45-65 (+1), 3 risk factors or history of atherosclerotic disease (+2), 1-2 risk factors (+1), No known risk factors (0)
Troponin: >3x normal (+2), 1-3x (+1),

Question 4

What is the TIMI Score used for?

Answer 4

Estimates 14-day mortality risk for patients with unstable angina and NSTEMI.

Question 5

What does the EDACS Score identify, and who does it apply to? (3 criteria)

Answer 5

Identities chest pain patients with low risk of major adverse cardiac event.
This score only applies to patients:
>18 years old with normal vitals
Chest pain consistent with ACS
No ongoing chest pain or crescendo angina

Question 6

What criteria are the EDACS score based on?

Answer 6

Age
Sex (+6pts for male)
Known CAD or >3 risk factors (+4pts)
Diaphoresis (+3pts)
Radiates to arm or shoulder (+5pts)
Pain occurred or worsened with inspiration (-4pts)
Pain is reproduced by palpation (-6pts)