PMID- 2318655
OWN - NLM
STAT- MEDLINE
DCOM- 19900502
LR  - 20151119
IS  - 0147-9563 (Print)
IS  - 0147-9563 (Linking)
VI  - 19
IP  - 2
DP  - 1990 Mar
TI  - Functional assessment of elderly patients after percutaneous aortic balloon 
      valvuloplasty: New York Heart Association classification versus functional status 
      questionnaire.
PG  - 118-25
AB  - Monitoring functional status in patients with cardiac disease has traditionally 
      been done by using the New York Heart Association (NYHA) classification system. 
      For various reasons, we found the NYHA system difficult to apply to elderly 
      patients. We proposed that the functional status questionnaire (FSQ), which 
      measures the ability to perform tasks, would more accurately assess the 
      functional status of the elderly. In a study in 37 patients with a mean age of 76 
      years, who had aortic stenosis, we measured FSQ and NYHA scores at baseline, 1 
      month and 3 months. The difference in questionnaires was evident by the 3-month 
      measurement. Individual patients were better evaluated by the FSQ. Six patients 
      had an FSQ score of less than 72 (suggesting severe functional impairment) at 3 
      months but only two patients gave symptoms scored as NYHA class III or IV 
      (cardiac disability). Five of six patients had a recurrent cardiac event 
      subsequent to the 3-month follow-up. Changes in functional performance preceded 
      symptomatic deterioration that was reflected only by the FSQ scores. The FSQ 
      system more reliably predicted outcome than the NYHA system and appears to be a 
      more useful tool in the evaluation of elderly patients with cardiac disease.
FAU - Tedesco, C
AU  - Tedesco C
AD  - Department of Internal Medicine, University of Virginia Medical Center, 
      Charlottesville.
FAU - Manning, S
AU  - Manning S
FAU - Lindsay, R
AU  - Lindsay R
FAU - Alexander, C
AU  - Alexander C
FAU - Owen, R
AU  - Owen R
FAU - Smucker, M L
AU  - Smucker ML
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Heart Lung
JT  - Heart & lung : the journal of critical care
JID - 0330057
SB  - IM
MH  - *Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve Stenosis/complications/physiopathology/*therapy
MH  - *Catheterization
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Surveys and Questionnaires
EDAT- 1990/03/01 00:00
MHDA- 1990/03/01 00:01
CRDT- 1990/03/01 00:00
PHST- 1990/03/01 00:00 [pubmed]
PHST- 1990/03/01 00:01 [medline]
PHST- 1990/03/01 00:00 [entrez]
PST - ppublish
SO  - Heart Lung. 1990 Mar;19(2):118-25.