The New York Heart Association (NYHA) Functional Classification provides a simple way of classifying the extent of heart failure. It places patients in one of four categories based on how much they are limited during physical activity; the limitations/symptoms are in regards to normal breathing and varying degrees in shortness of breath and or angina pain:
| NYHA Class | Symptoms |
|---|---|
| I | Cardiac disease, but no symptoms and no limitation in ordinary physical activity, e.g. shortness of breath when walking, climbing stairs etc. |
| II | Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity. |
| III | Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g. walking short distances (20–100 m). Comfortable only at rest. |
| IV | Severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients. |
Another frequently used functional classification of cardiovascular disease is the Canadian Cardiovascular Society grading scale of angina pectoris.
Famous quotes containing the words york, heart, association and/or functional:
“So much missing, no sense of self, no core, no trust. Only a deep hollow we need to fill.”
—Sister Michele, Indian nun. As quoted in the New York Times Magazine, p. 35 (January 16, 1994)
“We shall make mistakes, but they must never be mistakes which result from faintness of heart or abandonment of moral principles. I remember that my old school master Dr. Peabody said in days that seemed to us then to be secure and untroubled, he said things in life will not always run smoothly, sometimes we will be rising toward the heights and all will seem to reverse itself and start downward. The great thing to remember is that the trend of civilization itself is forever upward.”
—Franklin D. Roosevelt (1882–1945)
“The spiritual kinship between Lincoln and Whitman was founded upon their Americanism, their essential Westernism. Whitman had grown up without much formal education; Lincoln had scarcely any education. One had become the notable poet of the day; one the orator of the Gettsyburg Address. It was inevitable that Whitman as a poet should turn with a feeling of kinship to Lincoln, and even without any association or contact feel that Lincoln was his.”
—Edgar Lee Masters (1869–1950)
“Indigenous to Minnesota, and almost completely ignored by its people, are the stark, unornamented, functional clusters of concrete—Minnesota’s grain elevators. These may be said to express unconsciously all the principles of modernism, being built for use only, with little regard for the tenets of esthetic design.”
—Federal Writers’ Project Of The Wor, U.S. public relief program (1935-1943)