NYHA-Klassifikation (hjärtsvikt)

New York heart associations -NYHA- klassifikation av hjärtsvikt publicerades första gången 1921:1 NYHA Klassifikationen utgår från patientens subjektiva symptom och är därmed en funktionell klassifikation((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, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Francesco Piepoli M, Price S, Rosano GMC, Ruschitzka F, Kathrine Skibelund A; ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Aug 27:ehab368. doi: 10.1093/eurheartj/ehab368. Epub ahead of print. PMID: 34447992.)) (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. 19211

2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure2

Relaterade sidor

Kronisk Hjärtsvikt- Definitioner, utredning och behandling
ACC/AHA klassifikation av hjärtsvikt

Last Updated on September 22, 2021 by Christian Dworeck

Christian Dworeck
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  1. THE CLASSIFICATION OF CARDIAC DIAGNOSIS. JAMA. 1921;77(18):1414–1415. doi:10.1001/jama.1921.02630440034013 [] []
  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, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Francesco Piepoli M, Price S, Rosano GMC, Ruschitzka F, Kathrine Skibelund A; ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Aug 27:ehab368. doi: 10.1093/eurheartj/ehab368. Epub ahead of print. PMID: 34447992. []

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