Killip Classification of Acute Myocardial Infarction*

Class

PAO2†

Clinical Description

1

Normal

No clinical evidence of left ventricular (LV) failure

2

Slightly reduced

Mild to moderate LV failure

3

Abnormal

Severe LV failure, pulmonary edema

4

Severely abnormal

Cardiogenic shock: hypotension, tachycardia, mental obtundation, cool extremities, oliguria, hypoxia

* Determined by repeated examination of the patient during the course of illness.

† Determined while the patient is breathing room air.

Modified from Killip T, Kimball JT: Treatment of myocardial infarction in a coronary care unit. A two-year experience with 250 patients. The American Journal of Cardiology 20:457–464, 1967.