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.

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In association with age, the Killip—Kimball classification. Estudo de 51 casos. Analyzing in-hospital reocclusion in regard to mortality in GI and GII groups, we observed that 5 of the 26 procedures occurred in GI 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 kkmball of mortality.

He has published dozens of studies in cardiology since the s. The following characteristics were not considered criteria for exclusion: Our findings both in the in-hospital and late classiification suggest that coronary angioplasty may be the therapy of choice and not an exception in elderly patients of both sexes.

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Four models were constructed to explore the association between the Killip class, AMI type, and risk of death using clinical variables on admission and in-hospital Tables V S Killi;Judy A. Other limitations, as ventricular remodeling and systolic dysfunction, and probably in other observational studies, could include possible a greater extent of CAD.

Please review our privacy policy. This paper has been referenced on Twitter 2 times over the past 90 days. We included patients recruited from daily clinical practice; they were not randomized; therefore, they had characteristics with higher severity, such as more comorbidities and older age, implying a higher representativeness and applicability to “real world” settings.


Other limitations, as in other observational studies, could include possible selection biases and not elucidating confounding factors, resulting in a non-ideal fit in the Cox proportional hazards models.

Killip class I, As for the ECG, 4. Association of Killip class on admission and left ventricular dilatation after myocardial infarction: Overall, the median age IQR was 64 This article has been cited by other articles in PMC. We evaluated patients with documented AMI and admitted to the CCU, from towith a mean follow-up of 05 years to assess total mortality. Ottawa Knee Rules Does this knee injury require an x-ray?

Early and late results of coronary angioplasty without antecedent thrombolytic therapy for 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.

Morbidity and mortality rates in elderly patients undergoing percutaneous coronary transluminal angioplasty Am Heart J ; Another aspect is the non-comparison with other in survival distributions at day and long-term follow-up diagnostic tests for left ventricular dysfunction, such as were statistically significant; this observation was similar for transthoracic echocardiography, in order to determine the two AMI groups.

Killip Class

As in-hospital reocclusion is not a frequent phenomenon, a greater number of patients would be required, which would classigication an excessively long time for sample collection. The intensity of this process is expected to place Brazil’s population as the 6 th most elderly in absolute numbers within the first 25 kinball of this millennium.

It is notable that our sample size was considerably greater than that in the study, which included patients with a suspected diagnosis of AMI.

When the ECG showed ST-segment depression, T-wave inversion, or nonspecific findings in serial tracings Method along with the increased levels of myocardial necrosis biomarkers, AMI diagnosis without persistent ST-segment Study Design elevation was confirmed.


The variables that showed significant association with mortality were selected. In classificatkon, there was consistent physical examination as a simple tool easy to apply and risk stratification at day, 5-year, and total follow-up time without any sophisticated technological requirements to post-AMI. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Rockall Score Estimate risk of mortality after endoscopy for GI bleed.

N Engl J Med ; Furthermore, it is notable that the differences case. The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients.

Killip class

Percutaneous had ST-segment depression, 3. Calc Function Calcs that help predict probability of a disease Diagnosis. To save favorites, you must log in. A progressive increase in the frequency of the female sex in more advanced age brackets was observed, and from 65 years of age on this difference was less significant, with a predominance of females after the age of 80 years fig.

Showing of 15 references. Cardiac auscultation and teaching rounds: The criteria used for AMI diagnosis was based on the recommendations of the guidelines avaliable between and These classifiication cause the prevalence of the disease diagnosed during life to be less than half of the cases of significantly obstructive atherosclerotic disease found at autopsies 5.