Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm





    Chief Complaint


    Organ System


    Patent Pending

    Killip Classification for Heart Failure

    Quantifies severity of heart failure in ACS and predicts 30-day mortality.
    When to Use
    Why Use

    Patients with confirmed acute coronary syndrome.

    • Developed in the 1960s, before reperfusion therapy (thrombolytics, PCI); however, has been shown across several studies since then to still be predictive of mortality.
    • Mortality rates have declined significantly since the original study.
    • Can be used in both STEMI and NSTEMI.

    Predicts mortality in ACS and is validated for both STEMI and NSTEMI.

    No signs of congestion
    S3 and basal rales on auscultation
    Acute pulmonary edema
    Cardiogenic shock


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    Next Steps
    Creator Insights
    Dr. Thomas Killip III

    About the Creator

    Thomas Killip III, MD, is a professor of medicine and cardiology at Mount Sinai Beth Israel Hospital in New York City. He has published dozens of studies in cardiology since the 1960s. Dr. Killip is best known for the heart failure classification system that bears his name.

    To view Dr. Thomas Killip III's publications, visit PubMed

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    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Thomas Killip III
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