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    Canadian Cardiovascular Society (CCS) Angina Grade

    Classifies severity of angina.
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    Initially developed to standardize the definition of terms used in CAD and CABG studies, analogous to the NYHA classification for heart failure; was not intended to prognosticate outcomes.

    Angina with strenuous/rapid/prolonged exertion at work or recreation only; no angina with ordinary physical activity, e.g. walking, climbing stairs
    Ordinary activity slightly limited: angina with walking/climbing stairs rapidly, walking uphill, walking or stair climbing after meals, in cold/wind, under emotional stress, during few hours after awakening, walking >2 blocks on level ground, or climbing >1 flight of stairs at normal pace and normal conditions
    Marked limitation of ordinary physical activity: angina with walking 1-2 blocks on level ground or climbing 1 flight of stairs at normal pace and normal conditions
    Inability to carry on any physical activity without discomfort; anginal syndrome may be present at rest

    Result:

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    Creator Insights

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    Should not be used to predict outcomes.

    Formula

    Higher grade indicates higher severity of angina:

    Grade

    Description

    I

    Angina with strenuous/rapid/prolonged exertion at work or recreation only; no angina with ordinary physical activity, e.g. walking, climbing stairs

    II

    Ordinary activity slightly limited: angina with walking/climbing stairs rapidly, walking uphill, walking or stair climbing after meals, in cold/wind, under emotional stress, during few hours after awakening, walking >2 blocks on level ground, or climbing >1 flight of stairs at normal pace and normal conditions

    III

    Marked limitation of ordinary physical activity: angina with walking 1-2 blocks on level ground or climbing 1 flight of stairs at normal pace and normal conditions

    IV

    Inability to carry on any physical activity without discomfort; anginal syndrome may be present at rest

    Dr. Lucien Campeau

    About the Creator

    Lucien Campeau, MD, (d. 2010) was both a clinician and cardiology professor at the Université de Montréal in Quebec, Canada. He was also a co-founder of the Montreal Heart Institute in Quebec and was president of the Montreal Cardiac Society. Dr. Campeau’s research focused primarily on aortocoronary bypass grafts and coronary angiographies.

    To view Dr. Lucien Campeau's publications, visit PubMed