Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
Heart Failure Stages
The American College of Cardiology and the American Heart Association have devised a classification system for heart failure that categorizes heart failure based on the progression of the disease that occurs in most people. Under this system, heart failure is classified by stages A through D.1
Person is at high risk for developing heart failure but has no structural disorder of the heart.
Person has a structural disorder of the heart but has never developed symptoms of heart failure.
Person has structural changes to the left ventricle, has heart valve disease, or has had a heart attack.
Person has past or current symptoms of heart failure associated with underlying structural heart disease.
Person has shortness of breath or fatigue caused by left ventricular systolic dysfunction or is without symptoms and is receiving treatment for prior symptoms of heart failure.
Person has end-stage disease and requires specialized treatment strategies.
Person is frequently hospitalized for heart failure or cannot be safely discharged from the hospital; person is in the hospital awaiting a heart transplant; person is at home receiving continuous intravenous support for symptom relief or being supported with a mechanical circulatory assistive device; or person is in a hospice setting for the management of heart failure.
- Hunt SA, et al. (2009). 2009 focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation, 119(14): e391–e479.
|Primary Medical Reviewer||Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology|
|Specialist Medical Reviewer||Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology|
|Last Revised||April 26, 2012|
Last Revised: April 26, 2012
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