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. 2015 Mar 23;4(2):e20950. doi: 10.5812/cardiovascmed.20950

Table 1. NYHA (New York Heart Association) Functional Capacity Classification for Dyspnea.

Class Patient Symptoms
Class I (Mild) No limitation in physical activity. Ordinary physical activity does not cause undue fatigue, palpitation or dyspnea (shortness of breath).
Class II (Mild) Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea.
Class III (Moderate) Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes fatigue, palpitation or dyspnea.
Class IV (Severe) Unable to perform any physical activity without discomfort. Symptoms of cardiac insufficiency at rest. If any physical activity is undertaken, discomfort is increased.