New York heart associations -NYHA- klassifikation av hjärtsvikt publicerades första gången 1921: [1]THE CLASSIFICATION OF CARDIAC DIAGNOSIS. JAMA. 1921;77(18):1414–1415. doi:10.1001/jama.1921.02630440034013 NYHA Klassifikationen utgår från patientens subjektiva symptom och är därmed en funktionell klassifikation[2]McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, Burri H, Butler J, Čelutkienė J, Chioncel O, Cleland JGF, Coats AJS, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, … Continue reading (för en objektiv gradering, se ACC/AHA klassifikation):
| NYHA Klass | |
|---|---|
| I | No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath). |
| II | Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath). |
| III | Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. |
| IV | Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases. |
Litteratur
THE CLASSIFICATION OF CARDIAC DIAGNOSIS. JAMA. 1921 [3]THE CLASSIFICATION OF CARDIAC DIAGNOSIS. JAMA. 1921;77(18):1414–1415. doi:10.1001/jama.1921.02630440034013
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure [4]McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, Burri H, Butler J, Čelutkienė J, Chioncel O, Cleland JGF, Coats AJS, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, … Continue reading
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