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{{Infobox_Disease |
  Name          = Myocardial infarction|
  Image          = AMI scheme.png |
  Caption        = Diagram of a '''myocardial infarction''' (2) of the tip of the [[Sternocostal surface|anterior wall of the heart]] (an ''apical infarct'') after occlusion (1) of a branch of the [[left coronary artery]] (LCA, [[right coronary artery]] = RCA).|
  DiseasesDB    = 8664 |
  ICD10          = {{ICD10|I|21||i|20}}-{{ICD10|I|22||i|20}} |
  ICD9          = {{ICD9|410}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  eMedicineSubj  = |
  eMedicineTopic =  |
  eMedicine_mult =  |
  MeshID        = |
}}
{{SI}}
{{SI}}
{{CMG}}; '''Associate Editors-In-Chief:''' {{CZ}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}


==Overview==
==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.'''   
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.'''   


==C.C.S. Class I==
==Canadian Cardiovascular Society 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.  
*'''Ordinary physical activity does not cause angina''', such as walking, climbing stairs.  
*Angina occurs with strenuous, rapid or prolonged exertion at work or recreation.
*Angina occurs with strenuous, rapid or prolonged exertion at work or recreation.
 
|-
==C.C.S. Class II ==
| '''Class II'''
 
|
*'''Slightly limited ordinary physical activities'''.
*'''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.  
*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.
*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.
 
|-
==C.C.S. Class III ==
| '''Class III'''
 
|
*'''Marked limitations of ordinary physical activity'''.  
*'''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.
*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.
 
|-
==C.C.S. Class IV ==
| '''Class IV'''
|
*'''Inability to carry on any physical activity without any discomfort'''.
*'''Inability to carry on any physical activity without any discomfort'''.
*Angina occurs at rest.  
*Angina occurs at rest.
|}</center>


==References==
==See also==
 
* Hurst’s Heart Disease, Fuster V, 12th edition, 2008
* [http://www.ccs.ca Canadian Cardiovascular Society]
 
==Additional Resources==
Other frequently used functional classifications of cardiovascular disease include:
Other frequently used functional classifications of cardiovascular disease include:
*[[New York Heart Association Functional Classification]] for grading [[dyspnea]] and [[heart failure]].
*[[New York Heart Association Functional Classification]] for grading [[dyspnea]] and [[heart failure]].
*[[Chronic stable angina prognosis#Duke Score (Exercise Treadmill Test)|Duke
*[[Chronic stable angina prognosis#Duke Score (Exercise Treadmill Test)|Duke
Specific Activity Index]]
Specific Activity Index]]
==References==
*Hurst’s Heart Disease, Fuster V, 12th edition, 2008
*[http://www.ccs.ca Canadian Cardiovascular Society]


{{Circulatory system pathology}}
{{Circulatory system pathology}}
Line 55: Line 51:


[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Up to date]]
[[Category:Up to date cardiology]]


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Revision as of 12:13, 21 August 2011

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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 Classification (CCS)

Class 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.

See also

Other frequently used functional classifications of cardiovascular disease include:

References

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