Heart failure classification

NYHA functional class

Symptom severity and limitation of physical activity; can change with treatment.

Disease progression; patients do not move back to an earlier stage.

Answer all six and the tool suggests a class and a stage. You can still change either by hand above.

1. Risk factors present? (hypertension, diabetes, CAD, obesity)

Question 1 Yes No

2. Structural heart disease? (LV dysfunction, hypertrophy, significant valve disease)

Question 2 Yes No

3. Current or prior symptoms of HF? (dyspnoea, fatigue, oedema, orthopnoea)

Question 3 Yes No

4. Symptoms with less than ordinary activity?

Question 4 Yes No

5. Symptoms at rest or with minimal exertion?

Question 5 Yes No

6. Refractory HF needing advanced therapy? (inotropes, LVAD, transplant)

Question 6 Yes No