Field Data for the TIMI Risk Score for Unstable Angina/Non ST Elevation Myocardial Infarction Prehospital personnel: Complete for any patient with suspected cardiac chest pain and provide copy to the receiving medical facility provider RISK FACTORS: Patient age:__________(65 or higher = 1 point) Cardiac risk factors (circle all that apply, 3 or more = 1 point) o Family history (specify relationship and age at time of CAD diagnosis) o HTN o Elevated cholesterol o DM o Active smoker Known CAD (circle all that apply, history of coronary stenosis greater than or equal to 50% = 1 point) o Coronary stenosis greater than 50% o Coronary artery stent o CABG o Angina Date of last aspirin use:__________(ASA use in the past 7 days = 1 point) Date, time and description of chest pain (chest pain in the past 24 hours = 1 point) Elevated Cardiac Markers = 1 point Describe any ST segmentation deviation by lead location and in millimeters (ST deviation > 0.5mm = 1 point) Risk at 14 days of: all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization based on points: 1 point: 5% 4 points: 20% 2 points: 8% 5 points: 26% 3 points: 13% 6-7 points: 41%