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  • Pomen Killipove klasifikacije srčnega popuščanja v prognozi bolnikov z akutnim koronarnim sindromom in dvigom veznice ST = Prognostic value of the Killip classification in patients with ST-segment elevation acute coronary syndromes
    Pehnec, Zlatko ; Tapajner, Alojz
    Background: In patients with the acute coronary syndrome (ACS) the Killip's classification plays an important role in determining the level of cardiac insufficiency and further prognosis. The purpose ... of the article is to define the characteristics and the prognostic value of Killip's classification in patients with ACS and ST-segment elevation, hospitalised at the intensive careunit (ICU) during 2002 and 2005 Results: During the 4-year period, 899 patients with ACS and ST-segment elevation were hospitalised with the average age of 62.3 +- 13.3 years, 67.5% mate. There were 373 (41.5%) patients with Q-wave AMI of the anterior wall, 447 (49.8%) with Q-wave AMI of other localizations, 47 (5.2%) with AMI without Q-wave, 31 (3.5%) with unstable AP and 140 (15.6%) patients with previous MI. Time-to-hospital admission is set in 784 patients, 322 (41.1%) arrived in less than three hours, 195 (24.9%) in 4-6 hours, 114 (14.5%) in 7-12 hours and 153 (19,5%) in more than 12 hours. The clinical level of cardial insufficiency was defined according to Killip's classification. 599 (66.6%) patients were in Killip class I, 180 (20,0%) in Killip class II, 46 (5.1%) in Killip class III and 74 (8.2%) in Killip class IV. Primary PCI was performed in 603 (67.1%) patients, trombolysis in 97 (10.8%) patients, delayed PCI in 42 (4.7%) patients and non-reperfusion treatment in 156 (17.4%) patients. The average hospitalisation time at ICU was2.9 3.8 days and the entire hospitalisation 10.7 11.3 days. Intrahospitaldeath rate of patients with regard to the level of cardiac insufficiency was 1.8% in Killip class I, 8.9% in Killip class 11,10.9% in Killip class III and 68.9% in Killip class IV. The multivariate analysis showed that the age of >65 years and the presence of cardiac insufficiency (Killip > I) are the most important independent risk factors of intrahospital death rate.
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Letn. 3, št. 1, 2007, str. 4-9)
    Vrsta gradiva - članek, sestavni del
    Leto - 2007
    Jezik - slovenski
    COBISS.SI-ID - 23102169

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