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Killip class calculator: heart failure assessment in acute myocardial infarction

Determine Killip class in acute MI: I–IV by symptoms with 30-day mortality from GUSTO-I.

Updated · Methodology

About this calculator

Killip 1967 classification is a clinical heart failure assessment in acute MI based on bedside exam at presentation. Class I: no signs of HF (30-day mortality ~5%). Class II: rales over lower lung fields, S3 or elevated JVP (~14%). Class III: acute pulmonary oedema (~32%). Class IV: cardiogenic shock (~58%). It feeds the GRACE 2.0 score and shapes management – from conservative in I to emergency revascularisation and mechanical support in IV.

Source

Killip T, Kimball JT. Am J Cardiol 1967;20:457-464. Khot UN et al, JAMA 2003;290:2174-2181 (GUSTO-I mortality)

Formula version: killip-1967-gusto-i-v1