ACC/AHA:
Class | Class I Class IV
+ No limitation of physical + Slight limitation of + Marked limitation of “Inabilty to carry on ety
activity physical activity physical activity physical activity WithOUE
+ Comfortable at rest + Comiortable at rest discomfort
+ Symptons present even
atrestNew York Heart Association (NYHA) Classification
of severity of Heart Failure
No symptoms* with normal physical
activity.
Normal functional status.
Moderate symptoms* with less than
normal physical activity.Comfortable
only at rest.
Marked limitation of functional status.
- . Severe symptoms” with features of
‘ ss | heart failure with minimal! physical
HA Class >—_———_>|
3 BYERS yy activity and even at rest.
—————e Severe limitation of functional status
Symptoms - Fatigue, palpitations, chest pain, dyspnea, syncopeNational Institutes of Health Stroke Scale
‘Score=0 No stroke Score = 5-15 Moderate stroke
‘Score = 1-4 Minor stroke Score = 1-20 Moderate to severe stroke
Score = 21-42 Severe stroke
18. Level of consciousness 0 = Alert; keenly responsive
11 = Not alert, but arousable by minor simulation
2 = Not alert; requires repeated stimulation
3 = Unresponsive or responds only with refien
1B. Level of corsciovaness questions; 0 = Answers two questions correcty
‘What bs the month? 1 Answers one question correctly
What is your ge? 2 = Answers neither question correctly
re Ta SaRee Tretorn or
‘Open and cioue your eves. 115 Performs one tatk correctly
Grio and release vour hand. ___2 = Performs nether task correct
een gare (Om Normal
1 = Partial gaze palsy
2 = Forced devistion
Tina (O= No visual lon
18 Partai hemisnopia
2 = Complete hemianopia
3 = Bilateral hemianopia
Facil palsy (0 = Normal symmetric movements
15 Minor paralysis
2 = Partial paralysis
3 = Complete parahysis of one or both sides
5 Motor am (= No drift
Sa. Lett arm 1s one,
$b. Right arm 2 = Some effort against gravity
3 = No effort against gravity; limb fais
4 = No movement
‘Motor leg = No drift
a. Left leg 1 = onift
(6b. Right leg 2 = Some effort against gravity
3 = No effort against gravity
= Ho movement
Tim sae = Absent
11 Present in one lim’
2 = Present in two limbs
senso (= Normal, no sentory low
11 = Mild-to-moderate sensory loss
2 = Severe to tots! sensory loss
5 bes language (0 = No aphasia; normal
11 Mild to moderate aphasia
2 = Severe aphasia
3 = Mute, global aphasia
10 Opartria (= Normal
1 = Mild to moderate dysarthria
2 = Severe dysarthria
7 Extinction and inattention (= No abnormality
11 = Visual, tactile, auditor, spatial, or personal
inattention
2.5 Profound hem-inatention or extinction
Total ore = 0-42