Canadian Cardiovascular Society Classification System for Angina Pectoris
Class | Activities Triggering Chest Pain |
|---|---|
1 | Strenuous, rapid, or prolonged exertion |
Not usual physical activities (eg, walking, climbing stairs) | |
2 | Walking rapidly |
Walking uphill | |
Climbing stairs rapidly | |
Walking or climbing stairs after meals | |
Cold | |
Wind | |
Emotional stress | |
3 | Walking, even 1 or 2 blocks at usual pace and on level ground |
Climbing stairs, even 1 flight | |
4 | Any physical activity |
Sometimes occurring at rest | |
Campeau L. The Canadian Cardiovascular Society grading of angina pectoris revisited 30 years later. Can J Cardiol. 2002;18(4):371-379; Ferraro R, Latina JM, Alfaddagh A, et al. Evaluation and Management of Patients With Stable Angina: Beyond the Ischemia Paradigm: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;76(19):2252-2266. doi:10.1016/j.jacc.2020.08.078 | |