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Cardiology Assessment

Use when asked to administer, score, or explain a Cardiology Assessment — using CCS Angina Classification and NYHA Heart Failure Classification — grounded in FormExamples/form-examples.

Cardiovascular evaluation using CCS Angina Classification and NYHA Heart Failure Classification, with comprehensive cardiac risk profiling.

Scoring

Instruments: CCS Angina Class (I–IV) and NYHA Heart Failure Class (I–IV).

  • CCS I — angina only with strenuous exertion; CCS II — slight limitation of ordinary activity; CCS III — marked limitation; CCS IV — angina at rest or with any activity.
  • NYHA I — no limitation; NYHA II — slight limitation, comfortable at rest; NYHA III — marked limitation, comfortable only at rest; NYHA IV — unable to carry on any physical activity without discomfort.

What it covers

Demographics; chest pain/angina; heart failure symptoms; cardiac history; arrhythmia and conduction; risk factors; diagnostic results; current medications; allergies; and social/functional status.

Common pitfalls

  • Grading CCS/NYHA from a single visit without accounting for variability — angina and heart failure symptoms can fluctuate day to day; a single snapshot may not reflect the patient's typical functional status.
  • Treating CCS and NYHA as interchangeable — they classify different conditions (angina vs. heart failure); a patient can have a significant grade on one and be normal on the other.
  • Missing risk-factor documentation because the classification looks mild — a low CCS/NYHA grade doesn't mean cardiovascular risk factors are absent; risk-factor review matters regardless of current symptom grade.

Learn more

View cardiology-assessment/SKILL.md on GitHub