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HEARTe
4. Acute coronary syndrome
Case 2: Joan
Outcome

Outcome

Additional Information

TIMI Grade Flow is a scoring system from 0-3 referring to levels of coronary blood flow assessed during percutaneous coronary angioplasty;

TIMI 0 flow (no perfusion) refers to the absence of any antegrade flow beyond a coronary occlusion.
TIMI 1 flow (penetration without perfusion) is faint antegrade coronary flow beyond the occlusion, with incomplete filling of the distal coronary bed.
TIMI 2 flow (partial reperfusion) is delayed or sluggish antegrade flow with complete filling of the distal territory.
TIMI 3 flow (complete perfusion) is normal flow which fills the distal coronary bed completely

The intervention The next day continued

Page last reviewed: 11 Jun 2020

Case 2: Joan Emergency department presentation Diagnosis Explanation of thrombolysis Thrombolytic therapy To thrombolyse or not to thrombolyse Joan is transferred to a specialist centre Nursing care Dialogue between the nurse and Joan The next day The intervention Outcome The next day continued Inpatient progress Discharge medication Follow up Key messages

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