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 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 classifixation emphasizes the prognostic importance of were consistent with physical examination variables.
The classification or index of 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 In all Cox proportional adjustment for important covariates such as clinical, laboratory, 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 clasdification as of of the stepwise procedure, particularly age, emphasizing that the occurrence of relevant complications independently the Killip classification is a robust predictor of mortality.
Further randomized and controlled studies are required to confirm these findings. Data collection 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 classificatoon telephone.
As people age, a trend towards a change in the pattern of morbidity and mortality occurs. ST segment elevation myocardial infarction Stratification.
Initially reported by Hartzler 6coronary angioplasty for treating acute myocardial infarction was performed in patients who were or were not using thrombolytic agents prior to the procedure. The diagnosis of acute myocardial infarction was confirmed by clinical, electrocardiographic, and hemodynamic findings. In fact, there was consistent risk stratification at day, 5-year, and total follow-up time post-AMI. We used non-probability sampling considering the paucity of studies that have validated the Killip-Kimball classification to estimate the risk of mortality in patients with AMI in the Brazilian population.
N Engl J Med. At the beginning of the 20th century, the major cause of death in Brazil was infectious disease, which has been replaced currently by cardiovascular causes.
This has opened a new and promising path for research in cardiology. The same was observed in the our knowledge, this study introduces three important aspects: Prediction of risk of death and myocardial infarction in of the Killip classification in patients undergoing primary percutaneous the six months after presentation with acute coronary syndromes: Acute myocardial infarction in the medicare population – process of care and clinical outcomes.
In fact, the Killip-Kimball classification maintained a significant association with the risk of death even after adjusting for these variables, with biological and statistical impact. 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. The presence of multivessel lesions with a greater extension of atherosclerotic coronary kijball disease and statistical significance Cox model with initial data on hospital admission and predictors of mortality in the total follow-up of patients with STEMI.
Coronary artery bypass graft; SE: Am Heart J ; Killlp Cox regression analysis included all demographic, clinical, and angiographic variables.
The frequencies of death, according to the Killip class, in total long-term clinical follow-up were as follows: A two year experience with 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.
Rockall Score Estimate kimmball of mortality after endoscopy for GI bleed. Importantly, the results of this study identified the patients recruited from daily clinical practice; they were impact of these aspects on prognosis, both in NSTEMI and not randomized; therefore, they had characteristics with STEMI patients.
Treatment of myocardial infarction in a coronary 8. Maintaining patency in the artery is fundamental for the survival of these patients.
Killip class – Wikipedia
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. 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.
We included patients cladsification 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. Introduction hospital in the United States.
From This Paper Figures, tables, and topics from this paper. The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients. 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.
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 classkfication 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. 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.
The same was observed in the period up to 30 days Figure 1. The frequencies of and in long-term clinical follow-up post-AMI, determination death, according to the Killip class, in total long-term clinical cassification the presence and severity of HF on admission using the follow-up were as follows: Patients with a cardiac arrest prior to admission were excluded.
Enter your email address and we’ll send you classificcation link to reset your password. Killip classification and mortality after AMI Original Article total mortality during these time periods; however, they CABG, denoting advanced coronary atherosclerosis.
The study excluded patients with unstable angina. Killip class I, Consistently, the Killip—Kimball classification if applicable. The setting was the coronary care unit of a university hospital in the USA. When the ECG showed ST-segment depression, T-wave inversion, or nonspecific findings in serial tracings along with the increased levels of myocardial necrosis biomarkers, AMI diagnosis without persistent ST-segment elevation was confirmed.