New York Heart Association Format For Cardiac Diagnosis
Common examples under each category:
- Etiology: Atherosclerosis (ASHD), Hypertension (HHD), Acute
Rheumatic Fever (RHD), Pulmonary disease (Cor Pulmonale), Amyloid,
Carcinoid, etc. If the etiology is uncertain, the designation is heart
disease of unknown etiology.
- Anatomy: Anatomical derangements of the aorta, pulmonary
arteries, coronary arteries, valves, endocardium, myocardium, and
pericardium, e.g. aortic aneurysm, aortitis, coronary atherosclerosis,
mitral stenosis, coronary thrombosis, endocarditis, fibroelastosls,
pericarditis, myocarditis, acute myocardial infarction, ventricular
aneurysm, pericardial effusion, VSD, ETC.
- Physiology; NSR, PAT~ VPS's. LBBB, Complete Heart Block,
CHF, Pulmonary Hypertension, Angina, Stokes-Adams Syndrome, WPW Syndrome,
- Functional Capacity:
- Class I. Patients with cardiac disease, but without resulting
limitation of physical activity. Ordinary physical activity does
not cause undue fatigue, palpitation, dyspnea, or anginal pain
- Class II. Patients with cardiac disease resulting in slight
Limitation of physical activity. They are comfortable at rest, ordinary
physical activity results in fatigue, palpitation, dyspnea, or anginal
- Class III. Patients with marked limitation of physical
activity. They are comfortable at rest. Less than ordinary activity
causes fatigue, palpitation, dyspnea, or anginal pain.
- Class IV. Patients with cardiac disease resulting in inability
to carry on any physical activity without discomfort. Symptoms of
heart failure or of the anginal syndrome may be present even at
rest. If any physical activity is undertaken, discomfort is increased.
- Objective Assessment:
- A. No objective evidence of cardiovascular disease.
- B. Objective evidence of minimal cardiovascular disease.
- C. Objective evidence of moderately severe cardiovascular
- D. Objective evidence of severe cardiovascular disease.
For example, in a patient in the second week after a large, complicated
ETIOLOGY: Atherosclerotic heart disease
ANATOMY: Coronary atherosclerosis and thrombosis
Acute anterior wall myocardial infarction
Enlarged heart and probable ventricular aneurysm
PHYSIOLOGY: NSR with occasional VPB's
Congestive heart failure and cardiogenic shock
FUNCTIONAL CAPACITY: IV
OBJECTIVE ASSESSMENT: D