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New York Heart Association Class II

MedGen UID:
364512
Concept ID:
C1882085
Finding
Synonym: NYHA Class II

Definition

A finding associated with a patient with defined or presumed cardiac disease with slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea. (from The Criteria Committee of the New York Heart Association. Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. 9th ed. Boston, Mass: Little, Brown & Co; 1994:253-256.) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVNew York Heart Association Class II

Professional guidelines

PubMed

Hammerness PG, Cassidy AR, Potts H, Richardson A, Fogler J, Daly KP, Augustyn M
J Dev Behav Pediatr 2021 May 1;42(4):340-342. doi: 10.1097/DBP.0000000000000961. PMID: 33859122
Gilbert EM, Xu WD
Postgrad Med 2017 Aug;129(6):619-631. Epub 2017 Jul 14 doi: 10.1080/00325481.2017.1344082. PMID: 28670961
Tyler JM, Teerlink JR
Expert Opin Drug Saf 2017 Feb;16(2):257-263. doi: 10.1080/14740338.2017.1279144. PMID: 28060547

Recent clinical studies

Etiology

Borlaug BA, Reddy YNV, Braun A, Sorimachi H, Omar M, Popovic D, Alogna A, Jensen MD, Carter R
Circulation 2023 Sep 5;148(10):834-844. Epub 2023 Aug 3 doi: 10.1161/CIRCULATIONAHA.123.065134. PMID: 37534453Free PMC Article
Hundertmark MJ, Adler A, Antoniades C, Coleman R, Griffin JL, Holman RR, Lamlum H, Lee J, Massey D, Miller JJJJ, Milton JE, Monga S, Mózes FE, Nazeer A, Raman B, Rider O, Rodgers CT, Valkovič L, Wicks E, Mahmod M, Neubauer S
Circulation 2023 May 30;147(22):1654-1669. Epub 2023 Apr 18 doi: 10.1161/CIRCULATIONAHA.122.062021. PMID: 37070436Free PMC Article
Yeghiazarians Y, Jneid H, Tietjens JR, Redline S, Brown DL, El-Sherif N, Mehra R, Bozkurt B, Ndumele CE, Somers VK
Circulation 2021 Jul 20;144(3):e56-e67. Epub 2021 Jun 21 doi: 10.1161/CIR.0000000000000988. PMID: 34148375
Cikes M, Sanchez-Martinez S, Claggett B, Duchateau N, Piella G, Butakoff C, Pouleur AC, Knappe D, Biering-Sørensen T, Kutyifa V, Moss A, Stein K, Solomon SD, Bijnens B
Eur J Heart Fail 2019 Jan;21(1):74-85. Epub 2018 Oct 17 doi: 10.1002/ejhf.1333. PMID: 30328654
Marrouche NF, Brachmann J, Andresen D, Siebels J, Boersma L, Jordaens L, Merkely B, Pokushalov E, Sanders P, Proff J, Schunkert H, Christ H, Vogt J, Bänsch D; CASTLE-AF Investigators
N Engl J Med 2018 Feb 1;378(5):417-427. doi: 10.1056/NEJMoa1707855. PMID: 29385358

Diagnosis

Hundertmark MJ, Adler A, Antoniades C, Coleman R, Griffin JL, Holman RR, Lamlum H, Lee J, Massey D, Miller JJJJ, Milton JE, Monga S, Mózes FE, Nazeer A, Raman B, Rider O, Rodgers CT, Valkovič L, Wicks E, Mahmod M, Neubauer S
Circulation 2023 May 30;147(22):1654-1669. Epub 2023 Apr 18 doi: 10.1161/CIRCULATIONAHA.122.062021. PMID: 37070436Free PMC Article
Yeghiazarians Y, Jneid H, Tietjens JR, Redline S, Brown DL, El-Sherif N, Mehra R, Bozkurt B, Ndumele CE, Somers VK
Circulation 2021 Jul 20;144(3):e56-e67. Epub 2021 Jun 21 doi: 10.1161/CIR.0000000000000988. PMID: 34148375
Anker SD, Butler J, Filippatos G, Shahzeb Khan M, Ferreira JP, Bocchi E, Böhm M, Brunner-La Rocca HP, Choi DJ, Chopra V, Chuquiure E, Giannetti N, Gomez-Mesa JE, Janssens S, Januzzi JL, Gonzalez-Juanatey JR, Merkely B, Nicholls SJ, Perrone SV, Piña IL, Ponikowski P, Senni M, Seronde MF, Sim D, Spinar J, Squire I, Taddei S, Tsutsui H, Verma S, Vinereanu D, Zhang J, Jamal W, Schnaidt S, Schnee JM, Brueckmann M, Pocock SJ, Zannad F, Packer M; EMPEROR-Preserved Trial Committees and Investigators
Eur J Heart Fail 2020 Dec;22(12):2383-2392. doi: 10.1002/ejhf.2064. PMID: 33251670
Cikes M, Sanchez-Martinez S, Claggett B, Duchateau N, Piella G, Butakoff C, Pouleur AC, Knappe D, Biering-Sørensen T, Kutyifa V, Moss A, Stein K, Solomon SD, Bijnens B
Eur J Heart Fail 2019 Jan;21(1):74-85. Epub 2018 Oct 17 doi: 10.1002/ejhf.1333. PMID: 30328654
Ellingsen Ø, Halle M, Conraads V, Støylen A, Dalen H, Delagardelle C, Larsen AI, Hole T, Mezzani A, Van Craenenbroeck EM, Videm V, Beckers P, Christle JW, Winzer E, Mangner N, Woitek F, Höllriegel R, Pressler A, Monk-Hansen T, Snoer M, Feiereisen P, Valborgland T, Kjekshus J, Hambrecht R, Gielen S, Karlsen T, Prescott E, Linke A; SMARTEX Heart Failure Study (Study of Myocardial Recovery After Exercise Training in Heart Failure) Group
Circulation 2017 Feb 28;135(9):839-849. Epub 2017 Jan 12 doi: 10.1161/CIRCULATIONAHA.116.022924. PMID: 28082387Free PMC Article

Therapy

Borlaug BA, Reddy YNV, Braun A, Sorimachi H, Omar M, Popovic D, Alogna A, Jensen MD, Carter R
Circulation 2023 Sep 5;148(10):834-844. Epub 2023 Aug 3 doi: 10.1161/CIRCULATIONAHA.123.065134. PMID: 37534453Free PMC Article
Kotecha D, Bunting KV, Gill SK, Mehta S, Stanbury M, Jones JC, Haynes S, Calvert MJ, Deeks JJ, Steeds RP, Strauss VY, Rahimi K, Camm AJ, Griffith M, Lip GYH, Townend JN, Kirchhof P; Rate Control Therapy Evaluation in Permanent Atrial Fibrillation (RATE-AF) Team
JAMA 2020 Dec 22;324(24):2497-2508. doi: 10.1001/jama.2020.23138. PMID: 33351042Free PMC Article
McMurray JJV, Solomon SD, Inzucchi SE, Køber L, Kosiborod MN, Martinez FA, Ponikowski P, Sabatine MS, Anand IS, Bělohlávek J, Böhm M, Chiang CE, Chopra VK, de Boer RA, Desai AS, Diez M, Drozdz J, Dukát A, Ge J, Howlett JG, Katova T, Kitakaze M, Ljungman CEA, Merkely B, Nicolau JC, O'Meara E, Petrie MC, Vinh PN, Schou M, Tereshchenko S, Verma S, Held C, DeMets DL, Docherty KF, Jhund PS, Bengtsson O, Sjöstrand M, Langkilde AM; DAPA-HF Trial Committees and Investigators
N Engl J Med 2019 Nov 21;381(21):1995-2008. Epub 2019 Sep 19 doi: 10.1056/NEJMoa1911303. PMID: 31535829
Marrouche NF, Brachmann J, Andresen D, Siebels J, Boersma L, Jordaens L, Merkely B, Pokushalov E, Sanders P, Proff J, Schunkert H, Christ H, Vogt J, Bänsch D; CASTLE-AF Investigators
N Engl J Med 2018 Feb 1;378(5):417-427. doi: 10.1056/NEJMoa1707855. PMID: 29385358
Zannad F, McMurray JJ, Krum H, van Veldhuisen DJ, Swedberg K, Shi H, Vincent J, Pocock SJ, Pitt B; EMPHASIS-HF Study Group
N Engl J Med 2011 Jan 6;364(1):11-21. Epub 2010 Nov 14 doi: 10.1056/NEJMoa1009492. PMID: 21073363

Prognosis

Armstrong PW, Pieske B, Anstrom KJ, Ezekowitz J, Hernandez AF, Butler J, Lam CSP, Ponikowski P, Voors AA, Jia G, McNulty SE, Patel MJ, Roessig L, Koglin J, O'Connor CM; VICTORIA Study Group
N Engl J Med 2020 May 14;382(20):1883-1893. Epub 2020 Mar 28 doi: 10.1056/NEJMoa1915928. PMID: 32222134
Cikes M, Sanchez-Martinez S, Claggett B, Duchateau N, Piella G, Butakoff C, Pouleur AC, Knappe D, Biering-Sørensen T, Kutyifa V, Moss A, Stein K, Solomon SD, Bijnens B
Eur J Heart Fail 2019 Jan;21(1):74-85. Epub 2018 Oct 17 doi: 10.1002/ejhf.1333. PMID: 30328654
Marrouche NF, Brachmann J, Andresen D, Siebels J, Boersma L, Jordaens L, Merkely B, Pokushalov E, Sanders P, Proff J, Schunkert H, Christ H, Vogt J, Bänsch D; CASTLE-AF Investigators
N Engl J Med 2018 Feb 1;378(5):417-427. doi: 10.1056/NEJMoa1707855. PMID: 29385358
Ellingsen Ø, Halle M, Conraads V, Støylen A, Dalen H, Delagardelle C, Larsen AI, Hole T, Mezzani A, Van Craenenbroeck EM, Videm V, Beckers P, Christle JW, Winzer E, Mangner N, Woitek F, Höllriegel R, Pressler A, Monk-Hansen T, Snoer M, Feiereisen P, Valborgland T, Kjekshus J, Hambrecht R, Gielen S, Karlsen T, Prescott E, Linke A; SMARTEX Heart Failure Study (Study of Myocardial Recovery After Exercise Training in Heart Failure) Group
Circulation 2017 Feb 28;135(9):839-849. Epub 2017 Jan 12 doi: 10.1161/CIRCULATIONAHA.116.022924. PMID: 28082387Free PMC Article
Zannad F, McMurray JJ, Krum H, van Veldhuisen DJ, Swedberg K, Shi H, Vincent J, Pocock SJ, Pitt B; EMPHASIS-HF Study Group
N Engl J Med 2011 Jan 6;364(1):11-21. Epub 2010 Nov 14 doi: 10.1056/NEJMoa1009492. PMID: 21073363

Clinical prediction guides

Hundertmark MJ, Adler A, Antoniades C, Coleman R, Griffin JL, Holman RR, Lamlum H, Lee J, Massey D, Miller JJJJ, Milton JE, Monga S, Mózes FE, Nazeer A, Raman B, Rider O, Rodgers CT, Valkovič L, Wicks E, Mahmod M, Neubauer S
Circulation 2023 May 30;147(22):1654-1669. Epub 2023 Apr 18 doi: 10.1161/CIRCULATIONAHA.122.062021. PMID: 37070436Free PMC Article
Yu DS, Li PW, Li SX, Smith RD, Yue SC, Yan BPY
JAMA Netw Open 2022 Apr 1;5(4):e225982. doi: 10.1001/jamanetworkopen.2022.5982. PMID: 35380643Free PMC Article
Parkash R, Wells GA, Rouleau J, Talajic M, Essebag V, Skanes A, Wilton SB, Verma A, Healey JS, Sterns L, Bennett M, Roux JF, Rivard L, Leong-Sit P, Jensen-Urstad M, Jolly U, Philippon F, Sapp JL, Tang ASL
Circulation 2022 Jun 7;145(23):1693-1704. Epub 2022 Mar 22 doi: 10.1161/CIRCULATIONAHA.121.057095. PMID: 35313733
Armstrong PW, Lam CSP, Anstrom KJ, Ezekowitz J, Hernandez AF, O'Connor CM, Pieske B, Ponikowski P, Shah SJ, Solomon SD, Voors AA, She L, Vlajnic V, Carvalho F, Bamber L, Blaustein RO, Roessig L, Butler J; VITALITY-HFpEF Study Group
JAMA 2020 Oct 20;324(15):1512-1521. doi: 10.1001/jama.2020.15922. PMID: 33079152Free PMC Article
Cikes M, Sanchez-Martinez S, Claggett B, Duchateau N, Piella G, Butakoff C, Pouleur AC, Knappe D, Biering-Sørensen T, Kutyifa V, Moss A, Stein K, Solomon SD, Bijnens B
Eur J Heart Fail 2019 Jan;21(1):74-85. Epub 2018 Oct 17 doi: 10.1002/ejhf.1333. PMID: 30328654

Recent systematic reviews

Chilbert MR, Rogers KC, Ciriello DN, Rovelli R, Woodruff AE
Ann Pharmacother 2021 Apr;55(4):480-495. Epub 2020 Aug 1 doi: 10.1177/1060028020947446. PMID: 32741197
Hawkins NM, Bennett MT, Andrade JG, Virani SA, Krahn AD, Ignaszewski A, Toma M
Am J Cardiol 2015 Jul 15;116(2):318-24. Epub 2015 Apr 18 doi: 10.1016/j.amjcard.2015.04.026. PMID: 25975724
Chen YM, Li Y
Int J Clin Pract 2013 Nov;67(11):1192-8. doi: 10.1111/ijcp.12210. PMID: 24165432
Hidalgo R, Martí-Carvajal AJ, Kwong JS, Simancas-Racines D, Nicola S
Cochrane Database Syst Rev 2012 Nov 14;11:CD009077. doi: 10.1002/14651858.CD009077.pub2. PMID: 23152267
Davies EJ, Moxham T, Rees K, Singh S, Coats AJ, Ebrahim S, Lough F, Taylor RS
Eur J Heart Fail 2010 Jul;12(7):706-15. Epub 2010 May 21 doi: 10.1093/eurjhf/hfq056. PMID: 20494922Free PMC Article

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