ABSTRACT

Objective: To determine the prevalence of high TIMI score and associated complications and mortality in patients presented with ST elevation myocardial infarction.

Study Design: Cross-sectional/observational study

Place & Duration of Study: Department of Cardiology, Shaikh Zayed Hospital Lahore from 1st January 2019 to 31st December 2020.

Methodology: Three hundred patients of both genders with ages 35 to 80 years with acute myocardial infarction were included. Patient’s demographic age, sex and residence were recorded. Patients with previous history of myocardial infarction were excluded. Frequency of high TIMI score and short-term outcomes such as arrhthmiyas, cardiogenic shock and mortality associated to high TIMI score were examined.

Results: One hundred (33.33%) patients had high TIMI score ≥9. From 100 high TIMI score patients, 63% were males and 37% were females. Mean age of patients was 53.68±13.25 years. Post-infarct angina occurred in 35% patients, pulmonary edema found in 28% cases, revascularization in 23%, cardiogenic shock found in 25% patients and ventricular fibrillation found in 19% cases. Mortality rate was 19%.

Conclusion: The prevalence of high TIMI score is high with high rate of complications. Mortality rate was also high and directly associated with increase TIMI risk score.

Keywords: Acute myocardial infarction, TIMI score, Outcomes