Classification of Heart Failure
Topic Overview
The following is a classification for heart failure devised by the New York Heart Association (NYHA). It is important to be familiar with this classification, because it may be referred to during the course of your care.
Classification of heart failure symptoms
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Class I
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People whose physical activity is not limited. Ordinary physical activity does not cause undue fatigue, heart palpitations, trouble breathing, or chest pain.
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Class II
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People who have some limitation on physical activity. They are comfortable at rest, but ordinary physical activity causes fatigue, heart palpitations, trouble breathing, or chest pain.
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Class III
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People who have a marked limitation on physical activity. They are comfortable at rest, but less-than-ordinary physical activity causes fatigue, heart palpitations, trouble breathing, or chest pain.
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Class IV
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People who are unable to carry on any physical activity without discomfort. Symptoms may be present even at rest. If any physical activity is done, discomfort increases.
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References
Other Works Consulted
- Yancy CW, et al. (2013). 2013 ACCF/AHA Guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 62(16): e147–e239.
Credits
Current as ofApril 9, 2019
Author: Healthwise Staff
Medical Review: Rakesh K. Pai MD, FACC – Cardiology, Electrophysiology
Martin J. Gabica MD – Family Medicine
Adam Husney MD – Family Medicine
Stephen Fort MD, MRCP, FRCPC – Interventional Cardiology
Current as of: April 9, 2019
Author: Healthwise Staff
Medical Review:Rakesh K. Pai MD, FACC – Cardiology, Electrophysiology & Martin J. Gabica MD – Family Medicine & Adam Husney MD – Family Medicine & Stephen Fort MD, MRCP, FRCPC – Interventional Cardiology
