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Killip class : ウィキペディア英語版
Killip class
The Killip classification is a system used in individuals with an acute myocardial infarction (heart attack), in order to risk stratify them. Individuals with a low Killip class are less likely to die within the first 30 days after their myocardial infarction than individuals with a high Killip class.
==The study==
The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients. The setting was the coronary care unit of a university hospital in the USA.
250 patients were included in the study (aged 28 to 94; mean 64, 72% male) with a myocardial infarction. Patients with a cardiac arrest prior to admission were excluded.
Patients were ranked by Killip class in the following way:
*Killip class I includes individuals with no clinical signs of heart failure.
*Killip class II includes individuals with rales or crackles in the lungs, an S3, and elevated jugular venous pressure.
*Killip class III describes individuals with frank acute pulmonary edema.
*Killip class IV describes individuals in cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg), and evidence of peripheral vasoconstriction (oliguria, cyanosis or sweating).

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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