New York Heart Association (NYHA) Classification

 

NYHA is a functional classification that describes the extent of heart failure. It consists of 4 categories based on patients limitation due to physical activity. This limitations or symptoms based on various degree of dyspnoea (shortness of breath) and/or angina.  

NYHA class Description
I               Heart disease is present, but no undue dyspnoea from ordinary physical activity (e.g.:  walking and climbing stairs)
II Comfortable at rest; have dyspnoea (shortness of breath) and/or angina on ordinary physical activity
III Less than ordinary activity (e.g.: walking in short distance within 20-100m) causes dyspnoea; marked limitation in activity due to symptoms
IV Dyspnoea present at rest; all activity causes discomfort. This is considered severe limitation. Patients are basically bedbound.

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Reference:

  1. Oxford Handbook of Clinical Medicine. 7th edition. 2008.
  2. http://en.wikipedia.org/wiki/New_York_Heart_Association_Functional_Classification
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