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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.

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InKillip and Kimball 1 published an article that helped confirm the role of the coronary care unit CCU as an important tool in the management of patients with acute myocardial infarction AMI. To date and to the best of our knowledge, this study introduces three important aspects: The setting was the coronary care unit of a university hospital in the USA.

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. Analysis was performed with the statistical package SPSS Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: There were no objective clinical outcomes killop systematic collection of data or adjustments for confounding factors; moreover, there were no validations in an independent series of patients.

I am not even sure it is used nowadays, a 50 year-old study based on patients?? Wikipedia articles needing clarification from March All articles with unsourced statements Articles with unsourced statements from March K is hardly used in the Spanish language. Conclusions 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 ki,ball the no-refow phenomenon, heart failure, development of cardiogenic shock, and ventricular arrhythmias.

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Killip Classification for Heart Failure – MDCalc

We hypothesized that the TIMI risk score applied to patients with STEMI without cardiogenic ikmball who undergo primary PCI predicts in hospital mortality and also identifies a group of patients at high risk of developing other adverse events. These are representative of the hemodynamic status of patients on admission, i. The numbers below were accurate in We evaluated patients with documented AMI and admitted to the CCU, from towith a mean follow-up of 05 years to assess total mortality.


Acknowledgment Kimbaol appreciate the secretarial staff of the Coronary Care Unit, Leticia Casiano and Benita Medrano, for their valuable cooperation in the preparation of this manuscript.

The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients. It would be important to identify this group of at-risk patients, as has been done for patients receiving thrombolytic therapy, 21 so that preventive measures could be implemented in an attempt to prevent the development of cardiogenic shock. Information pertaining to the date of the last evaluation of each living patient, medication used 48 h before the admission and at discharge, and on deaths during hospitalization or long-term clinical follow-up were collected by actively searching the patient’s electronic records, electronic data management systems of the institute, and medical records, as well as via telephone.

View forum View forum without registering on UserVoice. Peer comments on this answer and responses from the answerer agree. Mortality rates have declined significantly since the original study. We defined total mortality as the clinical outcome of interest, with landmark analysis at day 30 and at the end of the follow-up period.

He has published dozens of studies in cardiology since the s. Hennekens CH, Julie E. Moreover, this analysis highlights the clinical utility of physical examination as a simple tool easy to apply and without any sophisticated technological requirements to identify signs and symptoms of HF on admission.

KyK | Spanish to English | Medical (general)

The information for the analysis was obtained prospectively from the database of the Coronary Care Unit of the National Institute of Cardiology in Mexico City, covering the period from October to February 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. Killip class 1 and no evidence of hypotension or bradycardiain patients presenting with acute coronary syndromeshould be considered for immediate IV beta blockade.

Consistently, the Killip-Kimball classification was an independent predictor of increased risk of mortality. B SE Wald p.

Log In Create Account. Patients with ST elevation acute myocardial infarction STEMI comprise a heterogeneous population with respect to the risk for adverse events. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndromes: PCI and Cardiac Surgery.


Killip class

kil,ip In each group, we analyzed the frequency of adverse events during hospital care, including mortality, reinfarction, stroke, heart failure, cardiogenic shock, ventricular arrhythmias, and the presence of the no refow phenomenon. It was developed using data from patients treated with thrombolytic therapy in a randomized trial and predicts mortality at 30 days.

This article has been cited by other articles in PMC.

We klilip that mortality was eight-fold higher in the high-risk group than in the low-risk group The mortality rates at 6 months in the study by Khot et al 4 were as follows: Global Kkmball of Acute Coronary Events Investigators Predictors of hospital mortality in the global registry of acute coronary events. The CADILLAC risk score reportedly has a better predictive value for mortality at komball days and one year, but differs from other primary angioplasty risk scores because it includes angiographic parameters such as the presence of three-vessel disease and final TIMI fow, as well as the left ventricle ejection fraction determined by ventriculography.

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.

Killip Class

Reperfusion therapy, either pharmacological or mechanical, is indicated in patients with ST elevation acute myocardial infarction STEMI with duration of less than 12 hours.

J Gen Intern Med ; 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.

J Am Coll Cardiol ; 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. Cox model with initial data on hospital admission and predictors of mortality in the total follow-up of patients with STEMI. 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.