Myocardial Infarction

  • Theodore J. Saclarides


The diagnosis of myocardial infarction is made based on two of the following three clinical criteria: 1) a history of prolonged chest pain; 2) electrocardiogram (EKG) changes consistent with myocardial ischemia; and 3) cardiac enzyme elevation. Prognosis after a documented MI is determined by the Killip scoring system:
  • Killip Class I: No evidence of pulmonary edema or shock, mortality < 5 %

  • Killip Class II: Mild pulmonary edema, isolated S3 gallop

  • Killip Class III: Pulmonary edema, left ventricular dysfunction, and mitral regurgitation

  • Killip Class IV: Cardiogenic shock, mortality 80%


Pulmonary Edema Mitral Regurgitation Thrombolytic Therapy Left Bundle Branch Block Thrombolytic Agent 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Theodore J. Saclarides

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