Chest Pain (Angina)?

CLASS I - CHEST PAIN (ANGINA)

WITH STRENUOUS, RAPID OR PROLONGED EXERTION

Ordinary physical activity does not cause chest pain (angina). Only recreational or work related strenuous, rapid or prolonged activity causes chest pain. 

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CLASS II - CHEST PAIN (ANGINA)

WITH ORDINARY OR MODERATE EXERTION

Ordinary activity slightly limited. Chest pain (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,

• climbing >1 flight of stairs at normal pace and normal conditions

CLASS III - CHEST PAIN (ANGINA)

WITH MILD EXERTION:

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

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CLASS IV - CHEST PAIN (ANGINA)

AT REST:

Inability to carry on any physical activity without discomfort;

• Chest pain (anginal) syndrome may be present at rest

• Symptoms occur at rest;

• Any physical activity increases discomfort.

• Cannot do or cannot complete any activity listed previously without chest pain