Predict 30-day mortality in patients with acute myocardial infarction based on the development of heart failure
Killip classification derived from a case series of 250 patients diagnosed with acute myocardial infarction admitted to coronary care units.
Killip class ranks patients into 4 groups as follows:
|Killip Class||Clinical Assessment||30-Day Mortality|
|I||No signs of heart failure||2-3%|
|II||Rales or crackles in the lungs, S3 or elevated jugular venous pressure||5-12%|
|III||Frank pulmonary edema||10-20%|
|1.||Killip T, Kimball JT (Oct 1967). “Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients”. Am J Cardiol. 20 (4): 457–64. Abstract|
|2.||Khot UN, Jia G, Moliterno DJ, et al. Prognostic importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: the enduring value of Killip classification. JAMA. 2003;290(16):2174-81. Full Text|
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Developer: Sirikarn Napan, MD, FACC