A proper analysis for the connection between baseline characteristics and the incidence of death and death-plusmyocardial (re)infarction at 30 days was done by [1]. The most important baseline features associated with death in analysis were age, heart rate, systolic blood pressure, ST-segment depression, signs of pump failure, and elevated levels of biomarkers. A risk estimation score was developed from this analysis [1].Over the last 10 years, multiple methods of risk stratification for ACS patients have been developed. Different scores are now available based on initial clinical history, ECG, and laboratory tests that enable early risk stratification on admission. Even among patients with ST-elevation myocardial infarction (STEMI), for whom initial therapeutic options are well defined, patient risk characteristics impact short and long term medical decision making [2].The TIMI risk score [3] is validated predictor of short term mortality.so we aimed to Correlate between TIMI score and in hospital outcomes in Acute Coronary Syndrome patients and concluded that the higher the TIMI score the higher adverse in hospital clinical cardiovascular outcomes