{"id":8003,"date":"2020-10-10T22:41:37","date_gmt":"2020-10-10T22:41:37","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7995"},"modified":"2026-01-07T19:24:05","modified_gmt":"2026-01-07T19:24:05","slug":"killip-kimball-classification","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/killip-kimball-classification\/","title":{"rendered":"Clasificaci\u00f3n de Killip-Kimball para Infarto Agudo de Miocardio"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La clasificaci\u00f3n o \u00edndice de gravedad de la insuficiencia card\u00edaca en pacientes con infarto agudo de miocardio (IAM) fue propuesta por Killip y Kimball con el objetivo de evaluar el riesgo de muerte intrahospitalaria y el beneficio potencial del manejo espec\u00edfico de la atenci\u00f3n brindada en las Unidades de Cuidados Coronarios (UCC).<!--more--><\/p>\n<p>La clasificaci\u00f3n de Killip se usa ampliamente en pacientes que presentan un infarto de miocardio agudo con el prop\u00f3sito de estratificar el riesgo, como se indica a continuaci\u00f3n:<\/p>\n<ul>\n<li>Killip I: sin signos cl\u00ednicos de insuficiencia card\u00edaca,<\/li>\n<li>Killip II: con estertores en los pulmones, tercer ruido card\u00edaco (S3) y presi\u00f3n venosa yugular elevada,<\/li>\n<li>Killip III: con edema agudo de pulm\u00f3n (EPA), y<\/li>\n<li>Killip IV: con shock cardiog\u00e9nico o hipotensi\u00f3n arterial (medida como presi\u00f3n arterial sist\u00f3lica &lt;90 mmHg) y evidencia de vasoconstricci\u00f3n perif\u00e9rica (oliguria, cianosis y diaforesis), con tasas de mortalidad del 6%, 17%, 38% y 81%, respectivamente.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Mello BH, Oliveira GB, Ramos RF, Lopes BB, Barros CB, Carvalho Ede O, Teixeira FB, Arruda GD, Revelo MS, Piegas LS. Validation of the Killip-Kimball classification and late mortality after acute myocardial infarction. Arq Bras Cardiol. 2014 Aug;103(2):107-17. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25014060\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Lee KL, Woodlief LH, Topol EJ, Weaver WD, Betriu A, Col J, Simoons M, Aylward P, Van de Werf F, Califf RM. Predictors of 30-day mortality in the era of reperfusion for acute myocardial infarction. Results from an international trial of 41,021 patients. GUSTO-I Investigators. Circulation. 1995 Mar 15;91(6):1659-68. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7882472\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Quader T, Jirjis A, Khanna S, Gu K, Bhat A, Chen H, Gan G, Ying V, Burgess D, Nerlekar N, Ghelani D, Eshoo S. Novel predictors of major adverse cardiovascular events in patients with Takotsubo cardiomyopathy: a contemporary analysis. Intern Med J. 2025 Oct 29.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41159266\/\" target=\"_blank\" rel=\"noopener\"> [Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 05, 2020.<br \/>\nActualizado Ene 07, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La clasificaci\u00f3n o \u00edndice de gravedad de la insuficiencia card\u00edaca en pacientes con infarto agudo de miocardio (IAM) fue propuesta por Killip y Kimball con el objetivo de evaluar el riesgo de muerte intrahospitalaria y el beneficio potencial del manejo espec\u00edfico de la atenci\u00f3n brindada en las Unidades de Cuidados Coronarios (UCC).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[231,593,166,167,350,349,2259,2258,347,2260,346],"class_list":["post-8003","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-acute","tag-agudo","tag-clasificacion","tag-classification","tag-infarction","tag-infarto","tag-killip","tag-kimball","tag-miocardio","tag-mortality","tag-myocardial"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/8003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=8003"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/8003\/revisions"}],"predecessor-version":[{"id":10569,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/8003\/revisions\/10569"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=8003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=8003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=8003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}