Heart Failure Stages
Topic Overview The American College of Cardiology and the American Heart
Association have devised a classification system for
heart failure. It categorizes heart failure based on
how the disease progresses in most people. Under this system,
heart failure is classified by stages A through D.footnote 1 Stages of heart failureStage | Definition | Examples |
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A | Person is at high risk for developing heart
failure. But there is no structural disorder of the heart. | Person has
high blood pressure,
coronary artery disease,
diabetes, a history of
drug or alcohol abuse, a personal history of
rheumatic fever, or a
family history of
cardiomyopathy. |
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B | Person has a structural disorder of the heart. But the person has never had symptoms of heart failure. | Person has structural changes to the left
ventricle, has heart valve disease, or has had a
heart attack. |
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C | Person has past or current symptoms of heart
failure. Symptoms are linked with underlying structural heart disease. | Person has shortness of breath or fatigue
caused by structural heart disease. Or the person does not have symptoms and is
getting treatment for prior symptoms of heart failure. |
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D | Person has end-stage disease. He or she needs
specialized treatment strategies. | Person is often hospitalized for heart
failure or cannot be safely discharged from the hospital. Or the person is in the
hospital waiting for a heart transplant. Or the person is at home getting continuous
intravenous support for symptom relief or being supported with a mechanical
circulatory assistive device. Or the person is in a
hospice setting for the management of heart
failure. |
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ReferencesCitations- Yancy CW, et al. (2013). 2013 ACCF/AHA Guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 62(16): e147-e239.
CreditsByHealthwise Staff Primary Medical ReviewerRakesh K. Pai, MD, FACC - Cardiology, Electrophysiology E. Gregory Thompson, MD - Internal Medicine Martin J. Gabica, MD - Family Medicine Specialist Medical ReviewerStephen Fort, MD, MRCP, FRCPC - Interventional Cardiology Current as ofApril 3, 2017 Current as of:
April 3, 2017 Yancy CW, et al. (2013). 2013 ACCF/AHA Guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 62(16): e147-e239. Last modified on: 8 September 2017
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