Risk Score of Wylie et al for Congestive Heart Failure in a Patient with Unstable Angina or non-ST Elevation Myocardial Infarction from TIMI Trials

Purpose: To evaluate a patient with unstable angina or non-ST segment elevation AMI for risk of CHF using the risk score of Wylie et al from the TIMI Study Group.

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Evaluation

Are you evaluating a patient with unstable angina or non-ST segment elevation myocardial infarction?

Yes

Age of the patient

years

Heart rate

beats per minute

Does the patient have a history of diabetes mellitus?

Yes

Maximal percent stenosis of a coronary artery on angiography (enter from 0 to 100)

percent

Maximal ST segment depression in leads I, aVL, V5 or V6

Maximal T wave inversion in leads I, aVL, V5 or V6

Serum BNP level

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors present

The risk of developing CHF within the next 10 months is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- High-Output Heart Failure Associated with Arteriovenous Fistula, Hemangioma or Other Vascular Malformation
- Criteria for Distinguishing Acute Heart Failure from COPD or Asthma in Dyspneic Patient
Failure Handling, When To Refer
- Indications for Referral of Patient with Heart Failure to Cardiologist
- Recommended Triage Times for Patient with Heart Failure

Therapy

Options
- Treatment Outcome - B-Type Natriuretic Peptide - (BNP) and Severe Congestive Heart Failure (CHF)
Selection
Failure Handling And Therapy Escalation
Prevention
- Predicting Risk of Heart Failure in Framingham Study
- Two Minute Assessment of Hemodynamic Profile for Patient with Possible Heart Failure

Monitoring

Response To Therapy
Drug Levels
- Boston Criteria for Diagnosis Congestive Heart Failure
Complication Detection
Comorbid Conditions

Patient Concerns

Disability And Performance
- Cognitive Dysfunction in Heart Failure
Quality Of Life
- Cognitive Dysfunction in Heart Failure
- Discharge Criteria for Patient Hospitalized for Heart Failure
End-of-life, Palliative Care
- Criteria for Inotrope Dependence | Refractory End-Stage Heart Failure
- Prognostic Factors for Ambulatory Patient w/ Chronic Congestive Heart Failure

Specialty

Cardiology

Objective

risk factors
severity
prognosis
stage
complications
selection

ICD-10

I50 - Heart failure

Info

Purpose: To evaluate a patient with unstable angina or non-ST segment elevation AMI for risk of CHF using the risk score of Wylie et al from the TIMI Study Group.

Specialty: Cardiology

Objective: risk factors, severity, prognosis, stage, complications, selection

ICD-10: I50,

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