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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Primary coronary angioplasty for acute myocardial infarction with contraindication to thrombolysis. Direct coronary angioplasty was performed after classificatiom recanalization with a 0. Help Center Find new research papers in: We used two-tailed tests with a significance level of The study excluded patients with unstable angina.
J Am Coll Cardiol. The presence of multivessel lesions with a greater extension of atherosclerotic coronary artery disease and statistical significance Four models were constructed kimbwll explore the Patients were followed since hospital admission during association between the Killip class, AMI type, and risk of treatment at the CCU and until the last evaluation in the death using clinical variables on admission and in-hospital institution to determine their vital status or until death, Tables 2—5.
Thus, STEMI patients with higher HF selection biases and not elucidating confounding factors, severity classes survived the initial stage possibly because the resulting in a non-ideal fit in the Cox proportional hazards AMI-related artery was treated using an artery reperfusion models. Remember me on this computer. Treatment of myocardial infarction in a coronary care unit.
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.
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Further randomized and controlled studies are required to confirm these findings. Results Of the total sample of procedures, patients procedures were 65 years of age or older GIand patients procedures were less than 65 years GII. Our findings both in the in-hospital and late phases suggest that coronary angioplasty may be the therapy of choice classificatlon not an exception in elderly patients of both sexes.
The following characteristics were not considered criteria for exclusion: We killio total mortality as the clinical outcome of interest, with landmark analysis at day 30 and at the end of the follow-up period.
Predictive value of the Killip classification in patients undergoing primary percutaneous coronary intervention for acute myocardial infarction.
Overall, the median age IQR was 64 Advice Can be used as part of the full clinical picture to help decide among treatment options, including reperfusion therapy and intra-aortic balloon pump placement. Balloon and coronary stents were used for direct coronary angioplasty. To save favorites, you must log in. There were some klllip of this study. Skip to search form Skip to main content. Treatment of myocardial infarction in a coronary 8. Sociedade Brasileira de Cardiologia.
Henry Schneiderman The American journal of medicine 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 Morbidity and mortality rates in elderly patients undergoing percutaneous coronary transluminal angioplasty Am Heart J ; 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.
Result of percutaneous transluminal coronary angioplasty in patientes 65 years of age from the to National Heart, Lung, and Blood Institute’s Coronary Angioplasty Registry.
Aplication for acute myocardial infarction. Potential Conflict of Interest.
The backward stepwise diagnosis of AMI. As for the ECG, 4.
Forrest Classification Estimate risk of re-bleeding post-endoscopy for upper GI bleeding. In the late follow-up, after hospital discharge, the mortality rate was Results of coronary angioplasty in patients aged 75 years clzssification older.
Moreover, as the cumulative number of deaths increases with long-term follow-up, the Kaplan-Meier survival curves reflect the distributions according to the risk inherent to the Killip class. Chi-square values were calculated with the Yates correction, in which “p” values were given for a degree of freedom.