Cardiology Question 17 Instructor

What is the Canadian Cardiovascular Society (CCS) classification for angina?

Developed for grading of angina pectoris …

1. Asymptomatic
2. Can walk more than 2 blocks or up 1 flight of stairs
3. Can walk less than 2 blocks or up 1 flight of stairs
4. Pain at rest
   Class IV is further classified into …
   1. Pain resolved with intensified medical therapy, now stable on oral medication
   2. On optimal oral therapy with pain still occurring minimal provocation
   3. Pain monitoring and parenteral medications and/or intra-aortic balloon counterpulsation

It was originally described in a letter to the editor published in Circulation and subsequently adopted clinically and in many clinical trials.

Campeau L. Grading of angina pectoris(Letter). Circulation. 1976;54:522-523.