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9 55/M government official consulted for follow up. He NYHA Functional classification
was recently admitted for an AMI in the regional hospital I
treated and sent home with medications. Discharge No limitation of physical
diagnosis was coronary heart disease, hypertension , DM activity. Ordinary
controlled and heart failure. He claims that he can still physical activity does not cause
perform his functions in government since it only entails
symptoms of HF.
going to the office and signing papers as well as attending
II
meetings. He has someone in attendance to provide
physical support at all times His NYHA functional
Slight limitation of physical
classification is : activity.
A. I Comfortable at rest, but ordinary
B. II physical
C. III activity results in symptoms of
D. IV HF.
III
Marked limitation of physical
activity.
Comfortable at rest, but less than
ordinary
activity causes symptoms of HF.
IV
Unable to carry on any physical
activity
without symptoms of HF, or
symptoms of HF at rest

2013 ACCF/AHA Guideline for the


Management of Heart Failure

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