NYHA classes

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Functional Capacity Objective Assessment
Class I Cardiac disease but no limitation of physical activity
Class II Cardiac disease resulting in slight limitation; ordinary physical activity causes symptoms
Class III Cardiac disease resulting in marked limitation; less than ordinary activity causes symptoms
Class IV Cardiac disease resulting in inability to carry out any physical activity without symptoms; symptoms present at rest

Symptoms include fatigue, palpitations, dyspnea, or anginal pain.