STEMI (Cont..

)
Jika dinilai secara angiografi, aliran di dalam arteri koroner yang terlibat (culprit)
digambarkan dengan skala kualitatif sederhana disebut thrombolysis in myocardial
infarction (TIMI) grading system:
1. Grade 0 menunjukkan oklusi total (complete occlusion) pada arteri yang
terkena infark.
2. Grade 1 menunjukkan penetrasi sebagian materi kontras melewati titik
obstruksi tetapi tanpa perfusi vascular distal.
3. Grade 2 menunjukkan perfusi pembuluh yang mengalami infark ke bagian
distal tetapi dengan aliran yang melambat dibandingkan arteri normal.
4. Grade 3 menunjukkan perfusi penuh pembuluh yang mengalami infark dengan
aliran normal.

Killip Classification
Killip classification was designed to provide a clinical estimate of the severity of
myocardial derangement in the treatment of AMI:
1. Stage I- No heart failure. No clinical signs of cardiac decompensation;
2. Stage II- Heart failure. Diagnostic criteria include rales, S3 gallop and
pulmonary hypertension. Pulmonary congestion with wet rales in the lower
half of the lung fields;
3. Stage III- Severe heart failure. Frank pulmonary oedema with rales
troughout the lung fields;
4. Stage IV- Cardiogenic shock. Signs include hypotension (SBP <= 90
mmHg), and evidence of peripheral vasoconstriction such as oliguria,
cyanosis, and diapohoresis.

sumber:
Guidelines on the diagnosis and treatment of acute heart failure