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Home Criteria Cardiology NYHA and Modified Ross Heart Failure Classification for Children


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NYHA and Modified Ross Heart Failure Classification for Children Print E-mail
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Written by G. Firman MD   
Wednesday, 21 December 2016 04:37


The Ross Heart Failure Classification was developed to provide a global assessment of heart failure severity in infants, and has subsequently been modified to apply to all pediatric ages. The modified Ross Classification incorporates feeding difficulties, growth problems, and symptoms of exercise intolerance into a numeric score comparable with the NYHA classification for adults.


NYHA and Modified Ross Heart Failure Classification for Children


NYHA

Ross 

Class I

No limitations of physical activity

No limitations or symptoms 

Class II

May experience fatigue, palpitations, dyspnea, or angina during moderate exercise but not during rest

Infants: Mild tachypnea or diaphoresis with feeding

Older children: Mild to moderate dyspnea on exertion

Class III

Symptoms with minimal exertion that interfere with normal daily activity

Infants: Growth failure and marked tachypnea or diaphoresis with feeding

Older children: Marked dyspnea on exertion

Class IV

Unable to carry out any physical activity because they typically have symptoms of HF at rest that worsen with any exertion

Symptoms at rest such as tachypnea, retractions, grunting, or diaphoresis

HF: Heart failure; NYHA: New York Heart Association. 



References:

  1. Ross RD. The Ross classification for heart failure in children after 25 years: a review and an age-stratified revision. Pediatr Cardiol. 2012 Dec;33(8):1295-300. [Medline]
  2. Hsu DT, Pearson GD. Heart failure in children: part I: history, etiology, and pathophysiology. Circ Heart Fail. 2009 Jan;2(1):63-70. [Medline]


Created Dec 21, 2016.

Last Updated on Wednesday, 21 December 2016 07:15
 

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