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Step 3 of 8
Grading heart failure by symptoms
The NYHA class describes how much activity brings on symptoms. Class III means a patient is comfortable at rest, but less than ordinary activity, like walking 50 metres, makes them breathless.
Quick check: breathless at rest. Which class?
NYHA class II: symptoms with activity
NYHA class IV: symptoms
NYHA class III: symptoms with activity
A 64-year-old man with heart failure is comfortable at rest but breathless walking 50 metres. What is his NYHA class?
- A · Class I
- B · Class II
- C · Class III
- D · Class IV
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Cardiology · Heart failure
A 64-year-old man with heart failure is comfortable at rest but gets breathless walking 50 metres on the flat and climbing one flight of stairs.
What is his NYHA functional class?
Correct
The NYHA classification: Class I, no limitation; Class II, slight limitation, so ordinary activity causes symptoms; Class III, marked limitation, so less than ordinary activity (walking 20–100 metres, dressing) causes symptoms; Class IV, symptoms at rest.
Key point: NYHA I: none; II: ordinary activity; III: less than ordinary activity; IV: at rest.
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Flashcard
NYHA class III: symptoms with activitySay it in your head, then show the answer.
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