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Grade Description
GradeI Ordinaryphysicalactivitydoesnotcauseangina,suchaswalking
andclimbingstairs.Anginawithstrenuousorrapidorprolonged
exertionatworkorrecreation
GradeII Slightlimitationofordinaryactivity.Walkingorclimbingstairs
rapidly,walkinguphill,walkingorstairclimbingaftermeals,orin
cold,orinwind,orunderemotionalstress,oronlyduringthefew
hoursafterawakening.Walkingmorethantwoblocksonthelevel
andclimbingmorethanoneflightofordinarystairsatanormal
paceandinnormalconditions
GradeIII Markedlimitationofordinaryphysicalactivity.Walkingoneortwo
blocksonthelevelandclimbingoneflightofstairsinnormal
conditionsandatnormalpace
GradeIV Inabilitytocarryonanyphysicalactivitywithoutdiscomfort,
anginalsyndromemaybepresentatrest
References
CampeauLucien.Gradingofanginapectoris.Circulation197654:5223
AvailableontheCanadianCardiovascularSocietyWebsiteatwww.ccs.ca