---
name: cardiology-assessment
description: 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.
---

# Cardiology Assessment

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

- [FormExamples: cardiology-assessment](https://github.com/FormExamples/form-examples/tree/main/forms/cardiology-assessment) for the full implementation, clinical references, and worked examples.