{"id":2320,"date":"2016-12-21T12:37:25","date_gmt":"2016-12-21T12:37:25","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carross\/"},"modified":"2026-03-20T19:13:19","modified_gmt":"2026-03-20T19:13:19","slug":"carross","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/carross\/","title":{"rendered":"NYHA and Modified Ross Heart Failure Classification for Children"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The Ross Heart Failure Classification was developed to provide a global assessment of heart failure severity in infants, and has subsequently been modified to apply to all pediatric ages. The modified Ross Classification incorporates feeding difficulties, growth problems, and symptoms of exercise intolerance into a numeric score comparable with the NYHA classification for adults.<br \/>\n<!--more--><\/p>\n<p><b>NYHA and Modified Ross Heart Failure Classification for Children<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td width=\"76\"><\/td>\n<td width=\"207\"><b>NYHA<\/b><\/td>\n<td width=\"197\"><b>Ross\u00a0<\/b><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"76\">Class I<\/td>\n<td width=\"207\">No limitations of physical activity<\/td>\n<td width=\"197\">No limitations or symptoms<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"76\">Class II<\/td>\n<td width=\"207\">May experience fatigue, palpitations, dyspnea, or angina during moderate exercise but not during rest<\/td>\n<td width=\"197\">Infants: Mild tachypnea or diaphoresis with feeding<br \/>\nOlder children: Mild to moderate dyspnea on exertion<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"76\">Class III<\/td>\n<td width=\"207\">Symptoms with minimal exertion that interfere with normal daily activity<\/td>\n<td width=\"197\">Infants: Growth failure and marked tachypnea or diaphoresis with feeding<br \/>\nOlder children: Marked dyspnea on exertion<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"76\">Class IV<\/td>\n<td width=\"207\">Unable to carry out any physical activity because they typically have symptoms of HF at rest that worsen with any exertion<\/td>\n<td width=\"197\">Symptoms at rest such as tachypnea, retractions, grunting, or diaphoresis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>HF: Heart failure; NYHA: New York Heart Association.<\/p>\n<p>&nbsp;<\/p>\n<p><b>References:<\/b><\/p>\n<ol>\n<li>Ross RD. The Ross classification for heart failure in children after 25 years: a review and an age-stratified revision. Pediatr Cardiol. 2012 Dec;33(8):1295-300.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22476605\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Hsu DT, Pearson GD. Heart failure in children: part I: history, etiology, and pathophysiology. Circ Heart Fail. 2009 Jan;2(1):63-70.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19808316\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Agrawal A, Janjua D, Alsayed Ali Zeyada AA, Taher Elsheikh A. Heart failure in children and adolescents: an update on diagnostic approaches and management. Clin Exp Pediatr. 2024 Apr;67(4):178-190. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37350171\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Dec 21, 2016.<br \/>\nUp-date Mar 20, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[675,181,166,167,674,673,672,671,670,669,183,668,667,676],"class_list":["post-2320","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiaca","tag-children","tag-clasificacion","tag-classification","tag-failure","tag-heart","tag-infantes","tag-insuficiencia","tag-modificada","tag-modified","tag-ninos","tag-nyha","tag-pediatrics","tag-ross"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2320","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2320"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2320\/revisions"}],"predecessor-version":[{"id":10724,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2320\/revisions\/10724"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}