The Killip Classification for Heart Failure quantifies severity of heart failure in NSTEMI and predicts day mortality. The Killip classification is widely used in patients presenting with acute MI for the purpose of risk stratification, as follows{ref42}: Killip class I. Conclusion: The Killip and Kimball classification performs relevant prognostic role in mortality at mean follow-up of 05 years post-AMI, with a.

Author: Akilkis Nisar
Country: Japan
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 15 January 2009
Pages: 86
PDF File Size: 16.59 Mb
ePub File Size: 3.78 Mb
ISBN: 642-8-47410-920-5
Downloads: 25018
Price: Free* [*Free Regsitration Required]
Uploader: Faehn

Killip Classification for Heart Failure – MDCalc

Quantification Volumetric Cardiology AR: Is primary angioplasty for some as good as primary kilip for all? Cox model with in-hospital data and predictors of mortality in the total follow-up of patients with STEMI. Consistently, the Killip-Kimball classification was an independent predictor of increased risk of mortality. B SE Wald p. Te lo explico abajo. Acknowledgment We appreciate the secretarial staff of the Coronary Care Unit, Leticia Casiano and Benita Medrano, kililp their valuable cooperation in the preparation of this manuscript.

Rockall Score Estimate risk of mortality after endoscopy for GI bleed. You can request verification for native languages by completing a simple application that takes only a couple of minutes. Prediction of risk of death and myocardial infarction in the kimball months after presentation with acute coronary syndromes: From Wikipedia, the free encyclopedia.

In our results, there was no difference between high and low-risk groups in the incidence of reinfarction and stroke. Four models were constructed to explore the association between kimbxll Killip class, AMI type, and risk of death using clinical variables on admission and in-hospital Tables The numbers below were accurate in Or create a new account it’s free.

Duke Criteria for Endocarditis Diagnose endocarditis Lund-Mackay Sinusitis Stage Assess severity of chronic rhinosinusitis and assess response to therapy. Clinical follow-up and total mortality 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. Developed in the s, before reperfusion therapy thrombolytics, PCI ; however, has been shown across several studies since then to still be predictive of mortality.


There was no difference between the two groups for stent placement Prognostic importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: General supportive management of patients with AKI, including kinball of complications.

Thus, STEMI patients with higher HF severity classes survived the initial stage possibly because the AMI-related artery was treated using an artery reperfusion strategy; moreover, they may have been at a lower risk of new events due to CAD, mostly unilateral, or at a younger age. A simple prognostic classification model for postprocedural complications after percutaneous coronary intervention for acute myocardial infarction from the New York State Percutaneous Coronary Intervention Database.

Mortality rates have declined significantly since the original study. Open in a separate window. Treatment of myocardial infarction in a coronary care unit.

A two year experience with patients. Killip class I includes individuals with no clinical signs of heart failure. Spanish PRO pts in category: The distribution of patients according to TIMI score was as follows: You have native oillip that can be verified You can request verification for native languages by completing a simple application that takes only a couple of minutes.

It would be included in the Complementary Tests or Additional procedures. Conclusions [ edit ] The numbers below were accurate in It could be on the kibmall below. Microvascular obstruction and the no-refow phenomenon after percutaneous coronary intervention. Calc Function Calcs that help predict probability of a disease Diagnosis.

View forum View forum without registering on UserVoice. Peer comments on this answer and responses from the answerer agree.

Advice Can be used as part of the full clinical picture to help decide among treatment options, including reperfusion therapy and intra-aortic balloon pump placement.

Killip Class

Login or register free and only takes a few minutes to participate in this question. The TIMI risk score applied to STEMI patients without cardiogenic shock, undergoing primary PCI, identifies a group of patients at high-risk not only for higher in hospital mortality, but also for other adverse events such as the no-refow phenomenon, heart failure, development of cardiogenic shock, and ventricular arrhythmias.


To me it is obvious that it is not Killip and Kimball. Indications for fibrinolytic therapy in suspected acute myocardial infarction: It is definitely out of place in “aspecto general” but I can’t find what it might refer to other than Killip-Kimball which as it turns out did appear later in the document.

N Engl J Med. Ninety patients were excluded: The incidence of reinfarction and stroke was low and there were no significant differences between both groups. We emphasize that the proportionately smaller numbers of patients with poor prognosis in these classes did not allow the determination of whether the behavior is similar or different from a visual perspective only. Prognostic importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: Discussion A potentially relevant issue in the treatment of patients with STEMI is that this population is highly heterogeneous regarding their risk of adverse events.

English PRO pts in category: This potential interaction was evaluated in the models, and despite the possible attenuation of the association with risk for the reason described earlier, the Killip classification significantly and independently remained associated with mortality.

Oliveira GBF; Acquisition of data: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Numerical inputs and outputs Formula.