Value of Killip classification first described in 1,967 for risk stratification of stemi and Nste-Acs in the new Millennium: Lessons from the euro heart survey ACS registry

Faculty Medicine Year: 2011
Type of Publication: ZU Hosted Pages: E1062-E1062
Authors:
Aly Mohamed Abdelrahman Saad
Journal: Journal of the American College of Cardiology American College of cardiology Foundation Volume: 14S
Keywords : Value , Killip classification first described , 1,967    
Abstract:
Background: The Killip classification was developed for simple risk stratification of myocardial infarction in 1967. Killip class 4 (cardiogenic shock) is well known to be the strongest predictor of hospital mortality in ACS-patients. However, little is known about outcome of ACS-patients presenting with Killip classes 2 and 3 in current clinical practice. Methods: Between Oct 2006 and Oct 2008, consecutive patients with ACS were enrolled into the Euro-Heart-Survey ACS-Registry to document treatment and hospital complications. We examined the impact of Killip class at admission on outcome of STEMI and of NSTE-ACS in clinical practice in Europe. Results: Out of 19,158 patients with ACS, 7,652 had STEMI (40%). Of STEMI-patients 3.9% had cardiogenic shock (Killip 4) as compared to only 1.2% of NSTE-ACS-patients. Pulmonary congestion (Killip 2 or 3) was present in 16.9% of STEMI and in 17.2% of NSTE-ACS …
    
     
 
       

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