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Myocardial Infarction

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Common Surgical Diseases
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Abstract

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%

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© 1998 Springer Science+Business Media New York

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Saclarides, T.J. (1998). Myocardial Infarction. In: Millikan, K.W., Saclarides, T.J. (eds) Common Surgical Diseases. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2945-0_24

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  • DOI: https://doi.org/10.1007/978-1-4757-2945-0_24

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-94983-3

  • Online ISBN: 978-1-4757-2945-0

  • eBook Packages: Springer Book Archive

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