CCS angina klassifikation

Canadian Cardiovascular Society’s angina klassifikation:¹²

CCS Klass
I	Ordinary physical activity, such as walking and climbing stairs, does not cause angina.  Angina with strenuous, rapid, or prolonged exertion at work or recreation.
II	Slight limitation of ordinary activity.  Walking or climbing stairs rapidly, walking up hill, walking or stair climbing after meals, in cold, in wind, or when under emotional stress or during the first few hours after awakening may cause pain.  Walking more than 2 blocks on the level and climbing more than one flight of stairs at a normal pace and in normal conditions.
III	Marked limitation of ordinary physical activity.  Walking 1-2 blocks on a level and climbing one flight stairs at normal pace results in angina.
IV	Inability to carry on any physical activity without discomfort.  Anginal syndrome may be present at rest.

Klassifikationen liknar NYHA-klassifikationen för hjärtsvikt (ska inte förväxlas med CCS=chronic coronary syndrome).

Läs mer om angina pectoris (bland annat klassifikation typisk/atypisk angina) här.

Litteratur

Letter: Grading of angina pectoris³

2024 ESC Guidelines for the management of chronic coronary syndromes ⁴

Relaterade sidor

Angina pectoris: Definitioner och anamnes

Braunwald klassifikation instabil angina

Last Updated on January 29, 2026 by Christian Dworeck

1. Campeau L. Letter: Grading of angina pectoris. Circulation. 1976;54(3):522–523. [↩]
2. Vrints C, Andreotti F, Koskinas KC, Rossello X, Adamo M, Ainslie J, Banning AP, Budaj A, Buechel RR, Chiariello GA, Chieffo A, Christodorescu RM, Deaton C, Doenst T, Jones HW, Kunadian V, Mehilli J, Milojevic M, Piek JJ, Pugliese F, Rubboli A, Semb AG, Senior R, Ten Berg JM, Van Belle E, Van Craenenbroeck EM, Vidal-Perez R, Winther S; ESC Scientific Document Group. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J. 2024 Sep 29;45(36):3415-3537. doi: 10.1093/eurheartj/ehae177. Erratum in: Eur Heart J. 2025 Apr 22;46(16):1565. doi: 10.1093/eurheartj/ehaf079. PMID: 39210710. [↩]
3. Campeau L. Letter: Grading of angina pectoris. Circulation. 1976 Sep;54(3):522-3. PMID: 947585. [↩]
4. Vrints C, Andreotti F, Koskinas KC, Rossello X, Adamo M, Ainslie J, Banning AP, Budaj A, Buechel RR, Chiariello GA, Chieffo A, Christodorescu RM, Deaton C, Doenst T, Jones HW, Kunadian V, Mehilli J, Milojevic M, Piek JJ, Pugliese F, Rubboli A, Semb AG, Senior R, Ten Berg JM, Van Belle E, Van Craenenbroeck EM, Vidal-Perez R, Winther S; ESC Scientific Document Group. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J. 2024 Sep 29;45(36):3415-3537. doi: 10.1093/eurheartj/ehae177. Erratum in: Eur Heart J. 2025 Apr 22;46(16):1565. doi: 10.1093/eurheartj/ehaf079. PMID: 39210710. [↩]