STEMI

Question 1

Killip Class I

Answer 1

no rales or signs of pulmonary or venous congestion
NORMAL BP

risk of mortality - 0-5%

Question 2

Killip Class II

Answer 2

MODERATE HF
bibasal rales
normal BP
S3 gallop
tachypnea or R sided CHF (venous or hepatic congestion)

risk of mortality - 10-20%

Question 3

Killip Class III

Answer 3

SEVERE HF
mid-basal rales and pulmonary edema
S3 and S4
NORMAL BP

risk of mortality - 35-45%

Question 4

Killip Class IV

Answer 4

shock w/ SBP <90 mmHg and evidence of peripheral vasoconstriction
peripheral cyanosis
mental confusion and oliguria

risk of mortality - 85-95%