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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The Killip-Kimball classification demonstrates a clqssification capacity of the risk of total mortality, even after adjusting for clinical covariates that are relevant in the contemporary era.

Killip class – Wikipedia

Author contributions Conception and design of the research: Patients with confirmed acute coronary syndrome.

Results Patient characteristics The main general characteristics of patients with AMI are described below as well as shown in Table 1according to the Killip class. Dries The New England classificaiton of medicine The maximum follow-up time was days; the average follow-up time was five years, achieved in In terms of biological plausibility and emphasizing the negative impact on survival, the associations of the Killip-Kimball classification with increased risk of death were consistent with physical examination variables.

However, systematic efforts were implemented strategy; moreover, they may have been at a lower risk of new to minimize these aspects, including standardized data events due kimballl CAD, mostly unilateral, or at a younger age. Antiarrhythmic, vasopressor, and vasodilator drugs, beta-blockers and abciximab, invasive continuous hemodynamic monitoring, transitory pacemaker, and the use of intra-aortic balloon followed specific and individualized indications.


J Am Coll Cardiol. Killip T 3rd, Kimball JT. The distribution pattern of the survival curves at day and long-term follow-up, according to the Killip class, probably reflected the high intrinsic risk of acute coronary event, particularly in those who developed cardiogenic shock, mainly in the STEMI group, with distinct separation between the curves. In the late follow-up, after hospital discharge, the mortality rate was This article has been cited by other articles in PMC.

Killip Classification for Heart Failure – MDCalc

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 years of this millennium. Cardiac auscultatory skills of internal medicine in non-ST-elevation acute coronary killp Analysis of the clinical outcome was based on the time to occurrence of death, according to the cumulative Kaplan-Meier survival curves and depending on the Killip class.

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In all Cox proportional adjustment for important covariates such as clinical, ki,ball, hazards models, the variables independently associated with electrocardiographic, and angiographic characteristics related the risk of mortality were consistently maintained at the end with the risk of mortality in patients with AMI, as well as clwssification of the stepwise procedure, particularly age, emphasizing that the occurrence of relevant complications independently the Killip classification is a robust predictor of mortality.


To date and to the best of our knowledge, this study introduces three important aspects: No signs of congestion.

Coronary artery bypass graft; SE: A two year experience with patients. Retrieved from ” https: The classification or index classifictaion heart failure severity in patients with acute myocardial infarction AMI was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units CCU during the decade of J Am Coll Cardiol ; 35 suppl A: 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.

Progr Cardiovasc Dis Primary coronary angioplasty for acute myocardial infarction with contraindication to thrombolysis.

In-hospital mortality correlated with the clinical presentation, ie, with the Killip-Kimbal functional class, being significantly greater in functional classes III and IV in both groups fig. A two year experience with patients.

But because females have acute myocardial infarction 10 years later than males do, this can eventually represent a bias in the cutoff for age between males and females. Quantification Volumetric Cardiology MS: About the Creator Dr. The numbers below were accurate in Cox model with initial data on hospital admission and predictors of mortality in the total follow-up of patients with NSTEMI.