NYHA classification for decision‐making in heart failure: Time to reassess?

European Journal of Heart Failure(2023)

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European Journal of Heart FailureEarly View Viewpoint NYHA classification for decision-making in heart failure: Time to reassess? André Zimerman, André Zimerman Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USASearch for more papers by this authorAnderson D. da Silveira, Anderson D. da Silveira Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, BrazilSearch for more papers by this authorScott D. Solomon, Scott D. Solomon Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USASearch for more papers by this authorLuis E. Rohde, Corresponding Author Luis E. Rohde [email protected] orcid.org/0000-0002-6557-393X Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil Corresponding author. Cardiovascular Division, Hospital de Clinicas de Porto Alegre, Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos 2350, Porto Alegre RSW 90035-003, Brazil. Tel: + 55 51 33598342, Email: [email protected]Search for more papers by this author André Zimerman, André Zimerman Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USASearch for more papers by this authorAnderson D. da Silveira, Anderson D. da Silveira Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, BrazilSearch for more papers by this authorScott D. Solomon, Scott D. Solomon Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USASearch for more papers by this authorLuis E. Rohde, Corresponding Author Luis E. Rohde [email protected] orcid.org/0000-0002-6557-393X Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil Corresponding author. Cardiovascular Division, Hospital de Clinicas de Porto Alegre, Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos 2350, Porto Alegre RSW 90035-003, Brazil. Tel: + 55 51 33598342, Email: [email protected]Search for more papers by this author First published: 01 June 2023 https://doi.org/10.1002/ejhf.2923Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL References 1White PD, Myers MM. The classification of cardiac diagnosis. JAMA 1921; 77: 1414– 1415. https://doi.org/10.1001/jama.1921.02630440034013 2Muntwyler J, Abetel G, Gruner C, Follath F. One-year mortality among unselected outpatients with heart failure. 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Clinical implications of the New York Heart Association classification. J Am Heart Assoc 2019; 8:e014240. https://doi.org/10.1161/JAHA.119.014240 17Blacher M, Zimerman A, Engster PHB, Grespan E, Polanczyk CA, Rover MM, et al. Revisiting heart failure assessment based on objective measures in NYHA functional classes I and II. Heart 2020; 107: 1487– 1492. https://doi.org/10.1136/heartjnl-2020-317984 18Zimerman A, da Silveira AD, Borges MS, Engster PHB, Schaan TU, de Souza GC, et al. Functional assessment based on cardiopulmonary exercise testing in mild heart failure: A multicentre study. ESC Heart Fail 2023; 10: 1689– 1697. https://doi.org/10.1002/ehf2.14287 19Rohde LE, Zimerman A, Vaduganathan M, Claggett BL, Packer M, Desai AS, et al. Associations between New York Heart Association classification, objective measures, and long-term prognosis in mild heart failure: A secondary analysis of the PARADIGM-HF trial. JAMA Cardiol 2023; 8: 150– 158. https://doi.org/10.1001/jamacardio.2022.4427 20Greene SJ, Butler J, Spertus JA, Hellkamp AS, Vaduganathan M, DeVore AD, et al. Comparison of New York Heart Association class and patient-reported outcomes for heart failure with reduced ejection fraction. JAMA Cardiol 2021; 6: 522– 531. https://doi.org/10.1001/jamacardio.2021.0372 21Cosiano MF, Vista A, Sun JL, Alhanti B, Harrington J, Butler J, et al. Comparing New York Heart Association class and patient-reported outcomes among patients hospitalized for heart failure. Circ Heart Fail 2023; 16:e010107. https://doi.org/10.1161/CIRCHEARTFAILURE.122.010107 22Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJS. Global burden of heart failure: A comprehensive and updated review of epidemiology. Cardiovasc Res 2022; 118: 3272– 3287. https://doi.org/10.1093/cvr/cvab077 Early ViewOnline Version of Record before inclusion in an issue ReferencesRelatedInformation
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heart failure,decision‐making decision‐making,classification
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