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
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    Patent Pending

    Killip Classification for Heart Failure

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

    Result:

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    Next Steps
    Evidence
    Creator Insights

    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.

    About the Creator
    Dr. Thomas Killip III
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