Score/critères dx

Question 1

Décrire le score KILLIP.

Answer 1

KILLIP I: Absence de crépitants et de B3

KILLIP II: Crépitants <50% +/- B3

KILLIP III: Crépitants >50%

KILLIP IV: Choc cardiogénique

Mortalité à 30 jours:

K1: 3%

K2: 9 %

K3-4: 14%

Mortalité à 6 mois:

K1: 5%

K2: 15%

K3-4: 23%

Question 2

Décrire un outil pour stratifier le risque en STEMI.

Answer 2

Score TIMI - STEMI:

●Age ≥75 years – 3 points

●Age 65 to 74 years – 2 points

●History of diabetes, hypertension, or angina – 1 point

●Systolic blood pressure <100 mmHg – 3 points

●Heart rate >100/min – 2 points

●Killip class II to IV (table 2) and – 2 points

●Weight <67 kg – 1 point

●Anterior ST elevation or left bundle branch block – 1 point

●Time to reperfusion therapy >4 hours – 1 point

Mortalité à 30 jours:

0: <1%
1: 1.5%
2: 2%
3: 4%
4: 7%
5: 12%
6: 16%
7: 23%
8: 27%

>8: 36%

Question 3

Décrire un score pour stratifier le risque en AI/NSTEMI.

Answer 3

Score TIMI - AI/NSTEMI:

●Age ≥65 years

●Presence of at least three risk factors for coronary heart disease (CHD)

●Prior coronary stenosis of ≥50 percent

●Presence of ST segment deviation on admission ECG

●At least two anginal episodes in prior 24 hours

●Elevated serum cardiac biomarkers

●Use of aspirin in prior seven days

A higher TIMI risk score correlated significantly with increased numbers of events (all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring revascularization) at 14 days.

●Score of 0/1 – 4.7 percent

●Score of 2 – 8.3 percent

●Score of 3 – 13.2 percent

●Score of 4 – 19.9 percent

●Score of 5 – 26.2 percent

●Score of 6/7 – 40.9 percent