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%


Depression Ischemia Aspirin Heparin Morphine 


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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Theodore J. Saclarides

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