<Tr> <Th> NYHA Class </Th> <Th> Symptoms </Th> </Tr> <Tr> <Td> </Td> <Td> Cardiac disease, but no symptoms and no limitation in ordinary physical activity, e.g. no shortness of breath when walking, climbing stairs etc . </Td> </Tr> <Tr> <Td> II </Td> <Td> Mild symptoms (mild shortness of breath and / or angina) and slight limitation during ordinary activity . </Td> </Tr> <Tr> <Td> III </Td> <Td> Marked limitation in activity due to symptoms, even during less - than - ordinary activity, e.g. walking short distances (20--100 m). Comfortable only at rest . </Td> </Tr>

New york heart association class iii or iv cardiac disease