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| Title: | How is heart disease classified? | Article: | How is heart disease classified?
Any heart disease eventually may lead to grave condition. However the progression of the disease takes years or even decades. To follow the progression, doctors divide the condition into several classes. New York Heart Association uses Functional Classification. The scale helps to find functional ability in heart patients. Another purpose of the scale is to estimate how patients will fare with treatments and what volume of treatments for other diseases they can tolerate. For example, any major surgery even for non-heart reasons would be too dangerous for patients with advanced heart disease.
Patients with cardiac disease, but without resulting limitation of physical activity, when ordinary physical activity does not cause undue fatigue, palpitation, dyspnea, or anginal pain, are considered Class I. That means basically that you have a heart disease, but may do majority of the same daily routine as a normal person.
Patients with cardiac disease resulting in slight limitation of physical activity, when ordinary physical activity results in fatigue, palpitation, dyspnea or anginal pain, make Class II. They are comfortable at rest. What is this? This is when you have heart disease, but during physical work or exercise you get some problems – shortness of breath, racing heart, feeling tired and having chest pain as in the case of angina. At rest you feel OK.
Patients with marked limitation of physical activity become Class III. Those people are comfortable at rest. However, less than ordinary activity causes fatigue, palpitation, dyspnea, or anginal pain.
Eventually some patients with cardiac disease progress toward inability to carry on any physical activity without discomfort. That would be Class IV. Symptoms of heart failure or of the anginal syndrome (chest pain suggesting heart disease) may happen even at rest. Any physical activity makes discomfort even worse. | Author: | Aleksandr Kavokin, MD, PhD | System: | Heart | Subject: | Failure | Abstract: | New York Heart Association uses Functional Classification. The scale helps to find functional ability in heart patients. | Website: | http://www.kavokin.com | Time: | 20:29 | Reference: | http://www.rdoctor.com | Reference 2: | http://www.sympomat.com |
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