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World Health Organization (WHO) functional classification for pulmonary hypertension

World Health Organization (WHO) functional classification for pulmonary hypertension
Class WHO functional classification
I Patients with PH but without resulting limitations of physical activity. Ordinary physical activity does not cause undue fatigue or dyspnea, chest pain, or heart syncope.
II Patients with PH resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in undue fatigue or dyspnea, chest pain, or heart syncope.
III Patients with PH resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary physical activity causes undue fatigue or dyspnea, chest pain, or heart syncope.
IV Patients with PH resulting in inability to carry on any physical activity without symptoms. These patients manifest signs of right heart failure. Dyspnea and/or fatigue may be present even at rest. Discomfort is increased by physical activity.
PH: pulmonary hypertension; WHO: World Health Organization.
Data from: Rich S. Primary pulmonary hypertension: executive summary. Evian, France. World Health Organization, 1998.
Graphic 62080 Version 4.0

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