Modified Canadian Cardiovascular Society grading of angina pectoris.

Modified Canadian Cardiovascular Society

grading of angina pectoris

Canadian Cardiovascular Society grading of angina pectoris contain only 4 grades and Class 0 is not an official part of the CCS functional classification of angina pectoris, however it has been mentioned in several sources, referring to myocardial ischemia without symptoms.

Grade 0	Asymptomatic Angina	Mild myocardial ischemia with no symptoms.
Grade I	Angina only with strenuous exertion	Angina with strenuous or rapid or prolonged exertion at work or recreation (Ordinary physical activity does not cause angina, such as walking and climbing stairs).
Grade II	Angina with moderate exertion	Slight limitation of ordinary activities when they are performed rapidly, after meals, in cold, in wind, under emotional stress, during the first few hours after waking up, but also walking uphill, climbing more than one flight of ordinary stairs at a normal pace and in normal conditions.
Grade III	Angina with mild exertion	Having difficulties walking one or two blocks or climbing one flight of stairs at normal pace and conditions.
Grade IV	Angina at rest	No exertion needed to trigger angina.

 Dr Ibrahim

Return to list of medical grades (click here)

- Value of Tracheal tube in general anaethesia.

Value of Endotracheal tube During  general anaethesia (1)

Endotracheal intubation may be considered in every patient receiving general anesthesia for the following purposes:..

- Criteria of hypersplenism.

Criteria of hypersplenism.

1. Splenomegally.
2. Cytopenias (mono or pan).
3. Hypercellular bone marrow.
4. Scanning with Cr51 labelled with RBCs>> reversed liver to spleen ratio.
5. Splenectomy will improve the condition.

(A huge spleen after splenectomy for female patient with hypersplenism)

Dr Ibrahim samaha

- Heel foreign body X-ray.

Heel foreign body X-ray.

A child presented to Mansoura Emergency Hospital by a needle in heel which not appear on the skin,An X-ray was made and shown this..

Dr Ibrahim samaha

- Arterial Doppler Examination.

Arterial Doppler Examination.

An Arterial Doppler evaluates the arterial blood flow of the body. It is used many times to evaluate the arteries of the legs.

It may be ordered when there is suspicion on exam or with symptoms suggestive of blockage of the arteries.

There is no radiation for this test as it uses sound waves and pressure cuffs.

This video shows how to interpret vascular arterial doppler signal wave-forms in a simple and informative fashion.

This is educational especially in teaching how to better utilise a simple hand-held Doppler.