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New York Heart Association (NYHA) classification
system for HF and angina:
Class I - No limitation of physical activity.
- Ordinary physical activity does not cause undue
fatigue, dyspnea, or anginal pain.
New York Heart Association (NYHA) classification
system for HF and angina:
Class II
- Slight limitation of physical activity.
- Ordinary physical activity results in symptoms.
New York Heart Association (NYHA) classification
system for HF and angina:
Class III - Marked limitation of physical activity.
- Comfortable at rest, but less than ordinary activity
causes symptoms.
New York Heart Association (NYHA) classification
system for HF and angina:
Class IV - Unable to engage in any physical activity without
discomfort.
- Symptoms may be present even at rest.
, New York Heart Association (NYHA) classification
system for HF and angina:
Class V - Used by some experts to describe symptoms that
are atypical and can occur either at rest or with
exertion
The American College of Cardiology/American Heart
Association (ACC/AHA) classifies patients with HF
into four stages:
Stage A:
___________ Those at high risk for HF but no structural
heart disease (ie, hypertension, CAD) and no
symptoms.
The American College of Cardiology/American Heart
Association (ACC/AHA) classifies patients with HF
into four stages:
Stage B:
________________ Those with structural heart disease
associated with HF and no symptoms (also referred to
as "preheart failure").
The American College of Cardiology/American Heart
Association (ACC/AHA) classifies patients with HF
Stage C: into four stages:
___________ Those with structural heart disease who have
current or prior symptoms.
The American College of Cardiology/American Heart
Association (ACC/AHA) classifies patients with HF
Stage D: into four stages:
_________ Those with advanced HF requiring some
device or special intervention.
, ____________are due to one of the following:
1.) Blood forced through narrow passages (valvular
stenosis)
2.) Regurgitation through incompetent or abnormal
Murmurs valves (mitral valve regurgitation)
3.) Increased blood flow across normal structures
(anemia)
4.) Shunting of blood from an area of high pressure to
an area of lower pressure (ventricular septal defect)
• Substernal chest pain or discomfort
• Occurs when myocardial oxygen demand is greater
than myocardial oxygen supply, resulting in
ANGINA, STABLE
myocardial ischemia.
(ANGINA PECTORIS)
• Some patients may be asymptomatic.
• Typically provoked by physical exertion or emotional
stress and relieved by rest or nitroglycerin.
Triggers
• Very hot or very cold weather
• Physical activity
• Emotional stress
Angina
• Large meals
• Alcohol use
• Smoking
• Caffeine and other stimulants
Other Causes
• Arrhythmias
• Anemia
Angina • Coronary artery spasm (Prinzmetal's angina)
• Heart failure
• Heart valve disease
• Hyperthyroidism