AHA Medical/Scientific Statement: 1994 revisions to classification of functional capacity and objective assessment of patients with diseases of the heart.
AHA Medical/Scientific Statement: 1994 revisions to classification of functional capacity and objective assessment of patients with diseases of the heart.
复制标题
AHA 医学/科学声明：1994 年对心脏疾病患者的功能能力分类和客观评估进行了修订。
作者：
K. Chacko
1928年，纽约心脏协会根据临床严重程度和预后对心脏病患者进行了分类。这种分类在《心脏和大血管疾病的命名法和诊断标准》（Little, Brown & Co）的七个后续版本中进行了更新。第九版由美国心脏协会纽约分会标准委员会修订，于1994年3月14日发布。*新的分类总结如下，以供许多医生和科学家使用它们来描述个体患者的状况。这个版本的主要变化是类的术语。早期的版本参考了功能容量和治疗分类。术语心脏状态和预后在第七版（1973年）和第八版（1979年）中使用。然而，功能能力是医学界普遍使用的术语。因此，标准委员会再次使用基于主观症状的这一术语，并增加了作为第二类的客观评估，其基于诸如心电图、压力测试、x射线、超声心动图和放射图像等测量。此外，加拿大心血管学会分级量表（Campeau L. Circulation. 1976;54:522）。信)，它认为心绞痛症状不包括在以前的类，已纳入新的版本。下面是新的术语和定义。
In 1928 the New York Heart Association published a classification of patients with cardiac disease based on clinical severity and prognosis. This classification has been updated in seven subsequent editions ofNomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels (Little, Brown & Co). The ninth edition, revised by the Criteria Committee of the American Heart Association, New York City Affiliate, was released March 14, 1994.* The new classifications are summarized below for the many physicians and scientists who use them to describe the status of individual patients. A principal change in this edition is terms for the classes. Early editions referred to functional capacity and therapeutic classifications. The terms cardiac status and prognosis were used in the seventh (1973) and eighth (1979) editions. However, functional capacity is the term generally used by the medical profession. Therefore, the Criteria Committee is again using that term, which is based on subjective symptoms, and adds as the second category objective assessment, which is based on measurements such as electrocardiograms, stress tests, x-rays, echocardiograms, and radiological images. In addition, the Canadian Cardiovascular Society Grading Scale (Campeau L. Circulation. 1976;54:522. Letter), which considers anginal symptoms not previously included in the classes, has been incorporated into the new edition. Shown below are the new terms and definitions.