PMID- 10533665
OWN - NLM
STAT- MEDLINE
DCOM- 19991103
LR  - 20090213
IS  - 0003-9683 (Print)
IS  - 0003-9683 (Linking)
VI  - 92
IP  - 9
DP  - 1999 Sep
TI  - [Evaluation of a specific French scale of activity in chronic heart failure. A 
      national multicenter study. Group for Cardiac Insufficiency and Cardiomyopathy of 
      the French Society of Cardiology].
PG  - 1175-80
AB  - Many systems have been proposed to evaluate the functional incapacity caused by 
      chronic cardiac failure. The classification of the New York Heart Association 
      (NYHA) is the best known. It is subjective, poorly reproducible and has a poor 
      predictive value on effort. The authors propose a Specific French Scale of 
      Activity with the object of a more accurate functional evaluation of cardiac 
      failure, easier to use by the doctor and more specific to French patients and 
      their life styles. A French multicentre study was set up in hospital departments 
      by the French Society of Cardiology working group on Cardiomyopathy and Cardiac 
      Failure to assess this new classification with respect to the NYHA classification 
      and peak VO2 (Weber's classification). Eight centres participated in the study. A 
      total of 124 patients with chronic cardiac failure and a mean age of 61 years 
      (102 men) were included. Cardiac failure was due to ischaemic heart disease in 72 
      cases, hypertension in 10 cases, dilated cardiomyopathy in 40 cases and aortic 
      regurgitation in 2 cases. Eighty-two patients underwent a double evaluation using 
      the French Scale: 40 patients by 2 physicians and 42 patients by a physician and 
      a nurse. Good reproducibility was found between the assessment by the 2 
      physicians in 35 cases (87%) and between the physician and nurse in 30 cases 
      (71%). When compared with peak VO2, the classification was concordant in 47% of 
      cases using the NYHA and in 61% of cases using the French Scale, with variation 
      of one class in 40% of cases with the NYHA and 35% of cases with the French 
      Scale. These results show good reproducibility and correspondence of 
      classification with the exercise test which was better using the French Scale 
      than the NYHA classification.
FAU - Gibelin, P
AU  - Gibelin P
AD  - Service de cardiologie, hopital Pasteur, Nice.
FAU - Aumont, M C
AU  - Aumont MC
FAU - Aupetit, J F
AU  - Aupetit JF
FAU - Bareiss, P
AU  - Bareiss P
FAU - Bouhour, J B
AU  - Bouhour JB
FAU - Desnos, M
AU  - Desnos M
FAU - Dubourg, O
AU  - Dubourg O
FAU - Hagege, A
AU  - Hagege A
FAU - Jondeau, G
AU  - Jondeau G
FAU - Komajda, M
AU  - Komajda M
LA  - fre
PT  - Clinical Trial
PT  - English Abstract
PT  - Guideline
PT  - Journal Article
PT  - Multicenter Study
TT  - Evaluation d'une echelle d'activite specifique francaise de l'insuffisance 
      cardiaque chronique. Etude multicentrique nationale. Groupe insuffisance 
      cardiaque et cardiomyopathie de la Societe francaise de cardiologie.
PL  - France
TA  - Arch Mal Coeur Vaiss
JT  - Archives des maladies du coeur et des vaisseaux
JID - 0406011
SB  - IM
MH  - Aged
MH  - Cardiomyopathy, Dilated/*classification
MH  - Cardiovascular Diseases/*classification
MH  - Female
MH  - France
MH  - Heart Failure/*classification
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/*classification
MH  - New York
MH  - Societies, Medical
EDAT- 1999/10/26 00:00
MHDA- 1999/10/26 00:01
CRDT- 1999/10/26 00:00
PHST- 1999/10/26 00:00 [pubmed]
PHST- 1999/10/26 00:01 [medline]
PHST- 1999/10/26 00:00 [entrez]
PST - ppublish
SO  - Arch Mal Coeur Vaiss. 1999 Sep;92(9):1175-80.