When do you use a Killip?

The Killip classification is widely used in patients presenting with acute MI for the purpose of risk stratification, as follows : Killip class I includes individuals with no clinical signs of heart failure.

How do you classify Nstemi?

When elevated troponin levels are confirmed in patients with NSTE-ACS, the condition is classified as NSTEMI (Non-ST elevation myocardial infarction). If troponin levels are normal in patients with NSTE-ACS, the condition is classified as unstable angina (UA).

What are the symptoms of Killip class IV?

Killip class IV describes individuals in cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg), and evidence of peripheral vasoconstriction (oliguria, cyanosis or sweating).

What does Killip class 3 and 4 mean?

The study. Killip class III describes individuals with frank acute pulmonary edema. Killip class IV describes individuals in cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg), and evidence of peripheral vasoconstriction ( oliguria, cyanosis or sweating).

How are patients ranked in the Killip class?

Patients were ranked by Killip class in the following way: Killip class I includes individuals with no clinical signs of heart failure. Killip class II includes individuals with rales or crackles in the lungs, an S 3, and elevated jugular venous pressure. Killip class III describes individuals with frank acute pulmonary edema.

Which is worse, high Killip or low Killip?

In conclusion, across ACS, patients with higher Killip class had worse clinical profile and were less likely to be treated with evidence-based therapy. High Killip class was independent predictors of mortality in ST-elevation myocardial infarction and non-ST-elevation acute coronary syndrome.