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
INo limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
IISlight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).
IIIMarked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.
IVUnable 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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Last Updated on September 22, 2021 by Christian Dworeck

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