PMID- 1527934
OWN - NLM
STAT- MEDLINE
DCOM- 19921022
LR  - 20170310
IS  - 0022-9040 (Print)
IS  - 0022-9040 (Linking)
VI  - 32
IP  - 2
DP  - 1992 Feb
TI  - [Use of functional classes to assess the status of patients with severe heart 
      failure].
PG  - 48-53
AB  - The possibilities of the classification developed by Lang, Strazhesko, Vasilenko 
      and that of heart failure functional classes, which has been adopted by the New 
      York Heart Association (NYHA), to evaluate the status of patients with severe 
      heart failure are compared in this communication. A total of 1619 patients with 
      Stages IIB-III heart failure of various origin (coronary heart disease, dilated 
      cardiomyopathy, rheumatic heart disease, myocarditis, primary pulmonary 
      hypertension) were studied. To assess the patients' status the attending 
      physicians used 7 grades: (1) satisfactory; (2) close to moderate; (3) moderate; 
      (4) close to severe; (5) severe; (6) close to critical; (7) critical. Each 
      patient was independently evaluated for grade and functional class by experts by 
      using a specially developed schedule. An analysis of the distribution of the 
      patients by grade and functional class demonstrated that the 4-graded functional 
      class classification has advantages over the 7-graded one due to more settled, 
      reproducible, recurrent and less scattered opinions (in case of the common source 
      of information), the functional class, unlike the grade, was found to be 
      unassociated with the nature of the disease. A simple grade summing-up 
      (regrouping the patients from 7 to 4 grades) unenables one to adequately go over 
      to the NYHA functional class. It is concluded that the tested NYHA classification 
      should be used to evaluate the status of patients with severe heart failure.
FAU - Ageev, F T
AU  - Ageev FT
FAU - Gerasimova, V V
AU  - Gerasimova VV
FAU - Mareev, V Iu
AU  - Mareev VIu
FAU - Barsov, D A
AU  - Barsov DA
FAU - Sergeev, I L
AU  - Sergeev IL
FAU - Belenkov, Iu N
AU  - Belenkov IuN
LA  - rus
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Ispol'zovanie funktsional'nykh klassov v otsenke sostoianiia bol'nogo s tiazheloi 
      serdechnoi nedostatochnost'iu.
PL  - Russia (Federation)
TA  - Kardiologiia
JT  - Kardiologiia
JID - 0376351
SB  - IM
MH  - Cardiac Output, Low/classification/diagnosis/etiology/*physiopathology
MH  - Female
MH  - Heart Function Tests
MH  - Humans
MH  - Male
MH  - Middle Aged
EDAT- 1992/02/01 00:00
MHDA- 1992/02/01 00:01
CRDT- 1992/02/01 00:00
PHST- 1992/02/01 00:00 [pubmed]
PHST- 1992/02/01 00:01 [medline]
PHST- 1992/02/01 00:00 [entrez]
PST - ppublish
SO  - Kardiologiia. 1992 Feb;32(2):48-53.