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.

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