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TIMI risk score accurately risk stratifies patients with undifferentiated chest pain presenting to an emergency department
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  • Published on:
    study does not dispute the need for clinical judgement

    Dear Editor,

    We note Dorman et al's comments regarding our paper (1). We agree that risk scores should not be used in isolation to determine either the management or triage of patients. Although, in our study, no patient with a score of 0 experienced a major cardiac event within thirty days, the confidence interval includes a rate of up to 1.5%. A recent prospective evaluation of the TIMI score used in a simila...

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    Conflict of Interest:
    None declared.
  • Published on:
    TIMI scoring fails to predict MACE rates in conventional high risk cases with low front door scores
    • Stephen H Dorman, Cardiology Specialist Registrar
    • Other Contributors:
      • Thomas W Johnson, Nick E West

    Dear Editor,

    We read with interest the article by Conway Morris et al.(1) on the utility of the ‘front door’ TIMI risk score. The authors suggest that the TIMI score may be used to risk stratify patients with undifferentiated chest pain presenting to the emergency department and further state that patients with low scores (0 or 1) are at low risk of further cardiac events. Whilst the TACTICS-TIMI 18 investigators sugg...

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    Conflict of Interest:
    None declared.