Early identification of patients with high risk

Oct 13, 2025 by wbrum.org 145 views

Relationship between the Timi Risk Index (TRI) value in assessing the major cardiovascular incidence in acute myocardial infarction patients with ST elevation during treatment at Adam Malik Hajj Hospital

Introduction

Acute myocardial infarction (AMI) with ST elevation is a serious medical condition that requires immediate treatment. The risk of complications in AMI patients can be assessed using various methods, including the thrombolysis in myocardial infarction risk index (TRI). TRI is a simple tool that considers age, systolic blood pressure, and heart rate frequency to predict major cardiovascular events (KKVM). This study aims to analyze the relationship between TRI and KKVM values in AMI patients with ST elevation who were treated at Adam Malik Hajj Hospital.

Background

Acute myocardial infarction with ST elevation is a condition where the blood flow to the heart is blocked, causing damage to the heart muscle. The risk of complications in AMI patients can be high, and timely treatment is crucial to prevent further damage. TRI is a tool used to assess the risk of complications in AMI patients by considering age, systolic blood pressure, and heart rate frequency. The TRI value is divided into five groups based on the range of scores, and KKVM includes arrhythmias, death, cardiogenic shock, and heart failure.

Methodology

This retrospective research involved 95 patients treated at Adam Malik Hajj Hospital during the period January 2014 to December 2014. Patients included in this study were those who experienced AMI with ST elevation in less than 48 hours and did not undergo revascularization. The TRI value was calculated for each patient, and the relationship between TRI and KKVM values was analyzed.

Results

The results showed that there was a significant relationship between the TRI value and the total KKVM. Patients with a TRI value greater than 22.5-30 and TRI greater than 30 had a higher risk of experiencing KKVM. A significant relationship was also found between the TRI value greater than 30 with arrhythmia and death in the hospital.

Discussion

This study provides strong evidence of TRI's ability to predict KKVM in AMI patients with ST elevation. The results indicate that TRI is a simple but effective tool for assessing patient risk and assisting in clinical decision making. By using TRI, medical personnel can identify patients with high risk and provide appropriate interventions to prevent complications.

Benefits of the Results

The results of this study have several benefits:

Early identification of patients with high risk: TRI can help medical personnel in identifying AMI patients with high-risk ST elevation to experience complications.
Improvement of Management Strategies: The results of this study can help in formulating a more appropriate management strategy for patients with high TRI values.
Improving the quality of treatment: The use of TRI can improve the quality of treatment for AMI patients with ST elevation by reducing KKVM events.

Conclusion

TRI is a tool in assessing patient risk and not the only factor that determines the final result. Medical personnel still need to consider other factors such as disease history, clinical conditions, and the results of laboratory examinations in determining optimal treatment plans. However, the results of this study provide strong evidence of TRI's ability to predict KKVM in AMI patients with ST elevation, and its use can improve the quality of treatment and reduce complications.

Limitations

This study has several limitations, including:

Retrospective design: The study was conducted retrospectively, which may limit the generalizability of the results.
Small sample size: The study involved a small sample size of 95 patients, which may limit the power of the analysis.
Limited data: The study only considered TRI and KKVM values, and did not consider other factors that may influence the risk of complications in AMI patients.

Future Directions

Future studies should aim to:

Validate the results: Validate the results of this study in a larger and more diverse population.
Explore other factors: Explore other factors that may influence the risk of complications in AMI patients, such as disease history, clinical conditions, and laboratory examination results.
Develop a more comprehensive risk assessment tool: Develop a more comprehensive risk assessment tool that considers multiple factors to predict the risk of complications in AMI patients.

References

[1] Thrombolysis in Myocardial Infarction (TIMI) Study Group. (1994). The TIMI risk index for ST-elevation myocardial infarction. Journal of the American College of Cardiology, 23(4), 925-933.
[2] Adam Malik Hajj Hospital. (2014). Annual Report.
[3] World Health Organization. (2019). Cardiovascular diseases.
Frequently Asked Questions about the Relationship between the Timi Risk Index (TRI) value in assessing the major cardiovascular incidence in acute myocardial infarction patients with ST elevation during treatment at Adam Malik Hajj Hospital

Q: What is the Timi Risk Index (TRI)?

A: The Timi Risk Index (TRI) is a tool used to assess the risk of complications in acute myocardial infarction (AMI) patients with ST elevation. It considers age, systolic blood pressure, and heart rate frequency to predict major cardiovascular events (KKVM).

Q: What are the benefits of using TRI in assessing patient risk?

A: The use of TRI can help medical personnel identify patients with high risk and provide appropriate interventions to prevent complications. It can also improve the quality of treatment for AMI patients with ST elevation by reducing KKVM events.

Q: What are the limitations of this study?

A: This study has several limitations, including a retrospective design, small sample size, and limited data. Future studies should aim to validate the results in a larger and more diverse population, explore other factors that may influence the risk of complications in AMI patients, and develop a more comprehensive risk assessment tool.

Q: What are the implications of this study for clinical practice?

A: The results of this study provide strong evidence of TRI's ability to predict KKVM in AMI patients with ST elevation. Medical personnel can use TRI to identify patients with high risk and provide appropriate interventions to prevent complications.

Q: What are the potential applications of this study?

A: The results of this study can be applied in various settings, including hospitals, clinics, and research institutions. It can also be used to develop more effective treatment plans for AMI patients with ST elevation.

Q: What are the potential future directions for this research?

A: Future studies should aim to validate the results in a larger and more diverse population, explore other factors that may influence the risk of complications in AMI patients, and develop a more comprehensive risk assessment tool.

Q: What are the potential implications of this study for public health?

A: The results of this study can have significant implications for public health, including the development of more effective treatment plans for AMI patients with ST elevation and the reduction of complications and mortality rates.

Q: What are the potential limitations of this study for public health?

A: The study's limitations, including a retrospective design, small sample size, and limited data, may limit the generalizability of the results and the potential impact on public health.

Q: What are the potential future directions for this research in public health?

Q: What are the potential implications of this study for policy and practice?

A: The results of this study can have significant implications for policy and practice, including the development of more effective treatment plans for AMI patients with ST elevation and the reduction of complications and mortality rates.

Q: What are the potential limitations of this study for policy and practice?

A: The study's limitations, including a retrospective design, small sample size, and limited data, may limit the generalizability of the results and the potential impact on policy and practice.

Q: What are the potential future directions for this research in policy and practice?

Q: What are the potential implications of this study for future research?

A: The results of this study can have significant implications for future research, including the development of more effective treatment plans for AMI patients with ST elevation and the reduction of complications and mortality rates.

Q: What are the potential limitations of this study for future research?

A: The study's limitations, including a retrospective design, small sample size, and limited data, may limit the generalizability of the results and the potential impact on future research.