NYHA Functional Classification
Classifies the severity of heart failure based on symptoms and physical activity limitations.
FOR PROFESSIONAL USE ONLY
This calculator is a support tool intended exclusively for health professionals. It does not replace clinical judgment. The final decision regarding diagnosis and treatment is the sole responsibility of the professional.

NYHA Class I
No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea.

NYHA Class II
Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea.

NYHA Class III
Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.

NYHA Class IV
Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort is increased.
About this Calculator 💡
Formula
Calculation Methodology Clinical assessment of functional capacity in 4 classes
Reference
- The Criteria Committee of the New York Heart Association. Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. 9th ed. 1994.