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hi Dr Goldberg here continuing our Internal Medicine uh lecture Series today weamp;#39;re talking about the New York Heart Association uh functional classification system that we you really have to know about you know as we deal with our patients with congestive heartfare itamp;#39;s the most common cause of hospitalization patients older than 65 in the United States so youamp;#39;re going to see a lot of people with uh CHF uh and uh itamp;#39;s important to know about this classification system which has been around for uh decades by the way so basically thereamp;#39;s thereamp;#39;s four classes in this system uh class one uh are patients who have uh very mild heart failure they really basically have no limitation of activity they have no shortness of breath uh with ordinary activity class two are patients who have mild slight limitation of activity uh they have theyamp;#39;re comfortable at rest but ordinary physical activity results in fatigue palpitations or shortness of br
