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. 2021 Mar 28;18(3):219–232. doi: 10.11909/j.issn.1671-5411.2021.03.009

Table 4. Heart failure functional NYHA classification.

NYHA: New York Heart Association.
Class I No difficulty with usual physical activities, with no manifestation of dyspnoea, fatigue or palpitations.
Class II Slight limitation for usual physical activities. Patient asymptomatic at rest; in physical activity, expression of fatigue, dyspnoea and palpitations.
Class III Significant limitation of physical activities, although comfortable at rest. Symptoms of dyspnoea, fatigue and palpitations on exertion.
Class IV Symptoms present even at rest, and discomfort with any physical activity.