ACC/AHA heart failure stages

Cardiology

Also known as: ACC/AHA-Stadien der Herzinsuffizienz · ACC/AHA kalp yetmezliği evreleri · ACC/AHA stages of heart failure (A-D)

What it is for

ACC/AHA stages of heart failure (HF): describe the development and progression of HF from risk to advanced disease; they complement the NYHA functional class. Stages:

Classification

CategoryDescription
Stage A (at risk for HF)risk factors such as hypertension or diabetes, but no current or prior symptoms or signs of HF and no structural heart disease or biomarker evidence of heart disease.
Stage B (pre-HF)no current or prior symptoms or signs of HF, but structural heart disease, abnormal cardiac function or raised natriuretic peptide levels.
Stage C (symptomatic HF)current or prior symptoms and/or signs of HF caused by a structural and/or functional cardiac abnormality.
Stage D (advanced HF)severe symptoms and/or signs of HF at rest, recurrent hospitalisations despite guideline-directed management, or intolerance of or refractoriness to that therapy.

Source

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure

AHA/ACC/HFSA · Circulation 2022;145:e895-e1032 (Heidenreich PA et al.)

DOI: 10.1161/CIR.0000000000001063

PMID: 35363499

Edition
2022 AHA/ACC/HFSA heart failure guideline (stages aligned with the 2021 Universal Definition of Heart Failure)
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