Application For Intrastate Medical Waivers - Mass Rmv Page 4

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CLASSIFICATION GUIDELINES
AMERICAN HEART ASSOCIATION
FUNCTIONAL CLASSIFICATION SYSTEM
CLASS I
Patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical
activity does not cause undue fatigue, palpitation, dyspnea, or anginal pain.
CLASS II
Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable
at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain.
CLASS III
Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable
at rest. Less than ordinary physical activity causes fatigue, palpitation, dyspnea, or anginal pain.
CLASS IV
Patients with cardiac disease resulting in inability to carry on any physical activity without
discomfort. Symptoms of cardiac insufficiency or of the anginal syndrome may be present even at
rest. If any physical activity is undertaken, discomfort is increased.

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