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: Mezilmaran Tebei
Country: French Guiana
Language: English (Spanish)
Genre: Life
Published (Last): 22 December 2014
Pages: 466
PDF File Size: 8.90 Mb
ePub File Size: 15.93 Mb
ISBN: 628-1-23821-171-9
Downloads: 88776
Price: Free* [*Free Regsitration Required]
Uploader: Malamuro

Because females have acute myocardial infarction 10 years later than males do, this may eventually mean a bias in the cutoff for age This stratification was based on the physical examination of patients with possible acute myocardial infarction AMIand it was used to identify those at oimball highest risk of death and the potential benefits of specialized care in coronary care units CCUs.

Showing of 15 references. 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 The cases were stratified into the following classes: Being an observational, retrospective, nonrandomized study with no control group may constitute the major limitation for extrapolating the results of our study to other populations.

B SE Wald p.

kimbalp 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.

J Am Coll Cardiol ; 35 suppl A: Khot et al4 evaluated patients with unstable angina identify signs and symptoms of HF on admission. Cardiac auscultation and teaching rounds: Further randomized and controlled studies are required to confirm these findings.

The same was observed in the period up to 30 days Figure 1. 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.


Killip class – Wikipedia

However, from the perspective of clinical applicability and generalization of the results, the use of these additional tests would result in additional costs and logistical difficulties to the objectives and hypotheses of this research. Sociedade Brasileira de Cardiologia. Help Center Find new research papers in: The location of acute myocardial infarction was similar, with no significant classificayion between the 2 groups: However, from the survival curves reflect the distributions according to the risk perspective of clinical applicability and generalization of inherent to the Killip class.

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.

Prognostic importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: 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.

Comparing this impact on survival. The cases were stratified into the following classes:. Footnotes Author contributions Conception and design of the research: Furthermore, it is clxssification that the differences in survival distributions at day and long-term follow-up were statistically significant; this observation was similar for the two AMI groups.

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. The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients. 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.

These results were also comparable to those reported by Lee et al 26 in a pioneering study, which spawned the acceptance of primary direct coronary angioplasty in patients with Killip-Kimball functional classes III and IV.

Mortality rates have declined significantly since the original study.

We evaluated patients with documented AMI and admitted to the CCU, from towith a mean follow-up of 05 killipp to assess total mortality. We carried out a retrospective study of consecutive procedures of mechanical recanalization followed by direct coronary angioplasty for killiip 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.


A two year experience with patients. In terms of biological plausibility and emphasizing the negative impact on survival, the associations of the Conclusions Killip-Kimball classification with increased risk of death This study emphasizes the prognostic importance of were consistent with physical examination variables.

Killip Class

In the southern region, where the sample of this study was collected, and according to the statistics oflife expectancy is The frequencies of and in long-term clinical follow-up post-AMI, determination death, according to the Killip class, in total long-term clinical of the presence and severity of HF on admission using the follow-up were as follows: We emphasize that in this study, the Killip classification was an important independent predictor of mortality, even after adjustment for important covariates such as clinical, laboratory, electrocardiographic, and angiographic characteristics related with the risk of mortality in patients with AMI, as well as of the occurrence of relevant complications independently associated with the risk of death, including cardiac arrest during hospitalization and acute renal failure 9 In-hospital reocclusion was 8.

N Engl J Med. By using this site, you agree to the Terms of Use and Privacy Policy.

N Engl J Med ; A comparison of immediate angioplasty with thrombolytis therapy for acute myocardial infarction. Moreover, as the Killip—Kimball classification the proportionately smaller numbers of patients with poor criteria were designed to be easily implemented and the prognosis in these classes did not allow the determination datasheets of the patients were reviewed for consistency of whether the behavior is similar or different from a visual even with some disagreementthe association with risk perspective only.