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- New York Heart Association
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/04/21 09:32:55」(JST)
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The New York Heart Association (NYHA) Functional Classification provides a simple way of classifying the extent of heart failure. It places patients in one of four categories based on how much they are limited during physical activity; the limitations/symptoms are in regards to normal breathing and varying degrees in shortness of breath and or angina pain:
NYHA Class |
Symptoms |
I |
Cardiac disease, but no symptoms and no limitation in ordinary physical activity, e.g. shortness of breath when walking, climbing stairs etc. |
II |
Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity. |
III |
Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g. walking short distances (20–100 m).
Comfortable only at rest. |
IV |
Severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients. |
Another frequently used functional classification of cardiovascular disease is the Canadian Cardiovascular Society grading of angina pectoris.
References
- The Criteria Committee of the New York Heart Association. Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. 9th ed. Boston, Mass: Little, Brown & Co; 1994:253-256.
UpToDate Contents
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English Journal
- Dobutamine-induced changes of left atrial two-dimensional deformation predict clinical and neurohumoral improvement after levosimendan treatment in patients with acutely decompensated chronic heart failure.
- Paraskevaidis IA, Ikonomidis I, Parissis J, Papadopoulos C, Stassinos V, Bistola V, Anastasiou-Nana M.AbstractBACKGROUND: We investigated whether dobutamine-induced changes of the left atrial (LA) two-dimensional speckle tracking parameters are related to clinical and neurohumoral improvement after levosimendan treatment in patients with acutely decompensate chronic heart failure (ADCHF).
- International journal of cardiology.Int J Cardiol.2012 May 17;157(1):31-7. Epub 2010 Dec 22.
- BACKGROUND: We investigated whether dobutamine-induced changes of the left atrial (LA) two-dimensional speckle tracking parameters are related to clinical and neurohumoral improvement after levosimendan treatment in patients with acutely decompensate chronic heart failure (ADCHF).METHODS: Forty-six
- PMID 21176979
- Myocardial delayed enhancement in paucisymptomatic nonischemic dilated cardiomyopathy.
- Masci PG, Barison A, Aquaro GD, Pingitore A, Mariotti R, Balbarini A, Passino C, Lombardi M, Emdin M.SourceFondazione "G. Monasterio" CNR - Regione Toscana, Pisa, Italy.
- International journal of cardiology.Int J Cardiol.2012 May 17;157(1):43-7. Epub 2010 Dec 21.
- OBJECTIVES: We investigated the prognostic role of myocardial fibrosis by delayed enhancement (DE) cardiovascular magnetic resonance (CMR) in nonischemic dilated cardiomyopathy (NICM) patients with no or mild symptoms of heart failure (HF).METHODS: A prospective cohort of 125 NICM patients (82 males
- PMID 21176853
Japanese Journal
- 第6回東京女子医科大学メンタルヘルス研究会(平成23年6月23日)
- Depression and Outcomes in Hospitalized Japanese Patients With Cardiovascular Disease : Prospective Single-Center Observational Study
- SUZUKI Tsuyoshi,SHIGA Tsuyoshi,KUWAHARA Kazue,KOBAYASHI Sayaka,SUZUKI Shinichi,NISHIMURA Katsuji,SUZUKI Atsushi,OMORI Hisako,MORI Fumiaki,ISHIGOOKA Jun,KASANUKI Hiroshi,HAGIWARA Nobuhisa
- Circulation journal : official journal of the Japanese Circulation Society 75(10), 2465-2473, 2011-09-25
- … 47% New York Heart Association [NYHA] class II-IV; … NYHA class III/IV, defibrillator implantation, and being unmarried were independently associated with depression. …
- NAID 10029459801
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- ニューヨーク心臓病学会、ニューヨーク心臓協会、New York心臓病学会
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- NYHA
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- NYHA
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- 英
- NYHA classification of cardiac performance
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- NYHA、NYHA分類
[show details]
クラス
|
自覚症状
|
I
|
身体活動を制限する必要はない心疾患患者。通常の身体活動で,疲労,動悸,息切れ,狭心症状が起こらない。
|
II
|
身体活動を軽度ないし中等度に制限する必要のある心疾患患者。通常の身体活動で,疲労,動悸,息切れ,狭心症状が起こる。
|
III
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身体活動を高度に制限する必要のある心疾患患者。安静時には何の愁訴もないが,普通以下の身体活動でも疲労,動悸,息切れ,狭心症状が起こる。
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IV
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身体活動の大部分を制限せざるをえない心疾患患者。安静にしていても心不全症状や狭心症状が起こり,少しでも身体活動を行うと症状が増強する。
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