The Killip Classification for Heart Failure quantifies severity of heart failure in NSTEMI and predicts day mortality. CONCLUSION The Killip and Kimball classification performs relevant prognostic role in mortality at mean follow-up of 05 years post-AMI, with a similar pattern. The Killip classification was based on the evalua- tion of patients . 1 Killip T , Kimball J. Treatment of myocardial infarction in a coronary care unit: a two.

Author: Masida Akinojind
Country: Bahrain
Language: English (Spanish)
Genre: Automotive
Published (Last): 7 November 2016
Pages: 402
PDF File Size: 13.20 Mb
ePub File Size: 2.3 Mb
ISBN: 934-5-61328-783-3
Downloads: 36473
Price: Free* [*Free Regsitration Required]
Uploader: Mikagul

Killip class – Wikipedia

Initially reported by Hartzler 6coronary angioplasty for treating acute myocardial infarction was performed in patients who were or were not using thrombolytic agents prior to the procedure. Topics Discussed in This Paper.

Table 2 Cox model with initial data on hospital admission and predictors of mortality in the total follow-up of patients with STEMI. However, systematic efforts were implemented strategy; moreover, they may have been at a lower classlfication of new to minimize these aspects, including standardized data events due to CAD, mostly unilateral, or at a younger age. The distributions of discrete or categorical variables are expressed as frequencies and percentages, and comparisons were calculated using chi-square or Fisher’s exact test.

Score taken at hospital admission. Millip of the clinical records, electronic data management systems of the outcome was based on the time to occurrence of death, institute, and medical records, as well as via telephone. This confirmed the previous findings 28 that the extensiveness of the disease, which is a decisive factor in the therapeutical approach to atherosclerotic coronary artery disease and has great prognostic importance in the long run, does not represent an unfavorable impact on the initial approach, the in-hospital phase, of acute myocardial infarction.


The Killip-Kimball classification demonstrates a discriminatory capacity of the risk of total mortality, even after adjusting for clinical covariates that are relevant in the contemporary era. Bleeding Risk in Atrial Fibrillation: Prediction of risk of death and myocardial infarction in of the Killip classification in patients undergoing primary percutaneous the six months after presentation with classification coronary syndromes: Killip class I, Patients were followed since hospital admission during treatment at the CCU and until the last evaluation in the institution to determine their vital status or until death, if applicable.

Even though that number of patients was sufficient for the analysis of other phenomena, it would probably be lower than the number required to analyze the phenomenon of reocclusion 5 patients in GI and 3 in GII, mortality of Thus, STEMI patients with higher HF selection biases and not elucidating confounding factors, severity classes survived the initial stage possibly because the resulting in a non-ideal fit in classificatiion Cox proportional hazards AMI-related artery was treated using an artery reperfusion models.

We carried out a retrospective study of consecutive procedures of mechanical recanalization followed by direct coronary angioplasty for myocardial reperfusion as a treatment for acute myocardial infarction within the first 24 hours of its presentation, with no pharmacological reperfusion, then defined as primary angioplasty.

Conclusions [ edit ] The numbers below were accurate in The following characteristics were not considered criteria for exclusion: Am J Cardiol ; 61 suppl G: J Am Coll Cardiol. Mortality was greater in females This stratification was based on the physical examination of patients with possible acute myocardial infarction AMIand it was used to identify those at the highest risk of death and the potential benefits of specialized care in coronary care units CCUs.


In the elderly, atherosclerotic arterial disease is more extensive with multivessel involvement. When the ECG showed ST-segment depression, T-wave inversion, or nonspecific findings classificatio serial tracings along with the increased levels of myocardial kimabll biomarkers, AMI diagnosis without persistent ST-segment elevation was confirmed. All patients received nitrates, sedatives, analgesics, 10, units of intravenous heparin and acetylsalicylic acid.

Forrest Classification Estimate risk of re-bleeding post-endoscopy for upper GI bleeding. How to cite this article. B SE Wald p. Hennekens CH, Julie E. Percutaneous Transluminal Coronary Angioplasty. The Killip classification is a system used in individuals with an acute myocardial infarction heart attacktaking into account physical examination and the development of heart failure in order to predict and stratify their risk of mortality.

There were no objective clinical outcomes nor systematic collection of data or adjustments for confounding factors; moreover, there were no validations in an independent series of patients.

Killip Class

Prognostic importance of elevated jugular venous pressure and a third heart sound in patients with heart failure. Quantification Volumetric Cardiology AR: Killip T, Kimbal T. The setting was the coronary care unit of a university hospital in the USA.