View source for Canadian cardiovascular society classification of angina pectoris

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{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}

==Overview==
The Canadian Cardiovascular Society, classifies the severity of anginal symptoms in patients with [[chronic stable angina]] based on the '''functional impairment''' of the patient and also '''quantifies the response to therapy.'''  

==Canadian Cardiovascular Society Severity Classification (CCS)==
{| border="1" align="center" style="background:lightskyblue"
|-
|  bgcolor="CornFlowerBlue" |'''Class'''
|  bgcolor="CornFlowerBlue" |'''Canadian Cardiovascular Society Severity Classification'''
|-
| '''Class I''' 
|
*'''Ordinary physical activity does not cause angina''', such as walking, climbing stairs. 
*Angina occurs with strenuous, rapid or prolonged exertion at work or recreation.
|-
| '''Class II'''
| 
*'''Slightly limited ordinary physical activities'''.
*Angina occurs on: 
:*walking or climbing stairs rapidly, 
:*walking uphill, walking or stair climbing after meals, or in cold, or in wind, or 
:*under emotional stress, or 
:*only during the few hours after awakening. 
*Walking more than two blocks on the same level and climbing more than one flight of ordinary stairs at a normal pace and in normal condition.
|-
| '''Class III'''
| 
*'''Marked limitations of ordinary physical activity'''. 
*Angina occurs on walking one to two blocks ''(equivalent to 100-200m)'' on the same level and climbing one flight of stairs at a normal pace under normal conditions.
|-
| '''Class IV'''
| 
*'''Inability to carry on any physical activity without any discomfort'''.
*Angina occurs at rest.
|}</center>

==See also==
Other frequently used functional classifications of cardiovascular disease include:
*[[New York Heart Association Functional Classification]] for grading [[dyspnea]] and [[heart failure]].
*[[Chronic stable angina prognosis#Duke Score (Exercise Treadmill Test)|Duke
Speciﬁc Activity Index]]

==References==
*Hurst’s Heart Disease, Fuster V, 12th edition, 2008
*[http://www.ccs.ca Canadian Cardiovascular Society]

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[[Category:Cardiology]]
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