Milwidsky et al reported echocardiographic criteria for the Killip classification (eKillip) in a patient with heart failure. The authors are from Tel-Aviv Sourasky Medical Center and Tel Aviv University.
Patient selection: heart failure
Parameters:
(1) left ventricular diastolic function (LVDD) based on E/A, E/e and LAVI
(2) stroke volume (SVI) in mL per square meter
Grade LVDD
E/A
E/e'
LAVI
normal
0.8 < ratio < 2
<= 14 cm/s
<= 34 mL
Grade 1
< 0.8
<= 14 cm/s
<= 34 mL
Grade 2
0.8 < ratio < 2
> 14 cm/s
> 34 mL
Grade 3
> 2
> 14 cm/s
> 34 mL
where:
• LVDD restrictive filling pattern has mitral valve deceleration time (MVDT) < 150 ms.
LV Diastolic Function
SVI
eKillip Class
normal
>= 35
I
Grade 1 LVDD
>= 35
I
Grade 2 LVDD
>= 35
II
Grade 3 LVDD with restrictive filling
>= 35
III
Grade 2 or 3
< 35
IV
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