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Table 2 Pulmonary hypertension functional classification self-report class description tracking matrix

From: Development of the Pulmonary Hypertension Functional Classification Self-Report: a patient version adapted from the World Health Organization Functional Classification measure

WHO-FC Draft 1 PH-FC-SR Draft 2 PH-FC-SR Final PH-FC-SR
Instructions
None included Please select the description that best describes yourself: Please select the description that best describes yourself: Please place an X in the box next to the Functional Class that best describes yourself:
Class I
Patients with pulmonary hypertension but without resulting limitation of physical activity. Ordinary physical activity does not cause undue dyspnea or fatigue, chest pain or near syncope I have pulmonary hypertension, but my physical activity is not limited. I can do ordinary physical activity (e.g., household tasks, go to work, exercise) without getting short of breath, feeling tired, experiencing chest pains, or feeling like I may faint I have pulmonary hypertension, but my physical activity is not limited
I can do my regular day-to-day physical activity (e.g., household tasks, go to work, go to the store) and my usual exercise without getting short of breath or feeling tired or experiencing chest pains or feeling like I may faint
I have pulmonary hypertension, but my physical activity is not limited
I can do my day-to-day physical activity (e.g., household tasks, go to work, go to the store) and my usual exercise without getting short of breath or feeling tired or experiencing chest pains or feeling like I may faint
Class II
Patients with pulmonary hypertension resulting in a slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope I have pulmonary hypertension and my physical activity is slightly limited. I feel comfortable at rest, but I experience shortness of breath, tiredness, chest pains, or feel like I may faint when I do ordinary physical activity (e.g., household tasks, go to work, exercise) I have pulmonary hypertension and my physical activity is slightly limited
I feel comfortable at rest. I can do my regular day-to-day physical activity (e.g., household tasks, go to work, go to the store) but it makes me feel short of breath or tired, or have chest pains or feel like I may faint
I have pulmonary hypertension and my physical activity is slightly limited
I feel comfortable at rest. I can do my day-to-day physical activity (e.g., household tasks, go to work, go to the store) but it makes me feel short of breath or tired or have chest pains or feel like I may faint
Class III
Patients with pulmonary hypertension resulting in a marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain or near syncope I have pulmonary hypertension and my physical activity is noticeably limited
I feel comfortable at rest, but I experience shortness of breath, tiredness, chest pains, or feel like I may faint when I do less than ordinary physical activity (e.g., washing, dressing, walking about the home)
I have pulmonary hypertension and my physical activity is noticeably limited
I feel comfortable at rest. I can do the type of physical activity I have to do on a day-to-day basis (e.g., bathing, dressing, walking about the home), but it makes me feel short of breath or tired, or have chest pains or feel like I may faint
I have pulmonary hypertension and my physical activity is noticeably limited
I feel comfortable at rest. I can do the type of physical activity I have to do on a day-to-day basis (e.g., bathing, dressing, preparing meals) but it makes me feel short of breath or tired or have chest pains or feel like I may faint
Class IV
Patients with pulmonary hypertension with inability to carry out any physical activity without symptoms. These patients manifest signs of right heart failure. Dyspnea and/or fatigue may even be present at rest. Discomfort is increased by any physical activity I have pulmonary hypertension and I am unable to carry out any physical activity without getting short of breath, feeling tired, experiencing chest pains, or nearly fainting. I sometimes get short of breath or tired when resting. I experience swollen ankles and a swollen stomach. I experience increasing amounts of discomfort with any physical activity I have pulmonary hypertension and almost any physical activity makes me feel short of breath or tired, or have chest pains or nearly faint. I sometimes experience swollen ankles and/or a bloated stomach. I sometimes get short of breath or tired when resting. I experience increasing amounts of discomfort with any physical activity I have pulmonary hypertension and almost any physical activity makes me feel short of breath or tired or have chest pains or nearly faint. I frequently experience swollen ankles. I may have a bloated stomach. I may get short of breath or tired even when resting. I experience increasing amounts of discomfort with any physical activity
  1. PH = pulmonary hypertension; PH-FC-SR = PH Functional Classification Self-Report; WHO-FC = World Health Organization functional classification