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A myPHteam Member asked a question 💭
Sumter, SC
September 15, 2025
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A myPHteam Member

And here are the functional classes:

Pulmonary Arterial Hypertension (PAH) Functional Class
The World Health Organization (WHO) functional class is a system used to classify the severity of PAH based on how it affects a patient's daily activities. There are four classes, with increasing severity:
Class I: No limitations in physical activity.
Class II: Slight limitations in physical activity.
Class III: Marked limitations in physical activity.
Class IV: Unable to perform any physical activity without symptoms

I am in Class 3. So I am PH Group 2, Class 3 but I am still considered to be "mild" PH

September 15, 2025
A myPHteam Member

To better understand the WHO classifications and PAH a good site is www.pahinitiative.com. They have an excellent video series.

PAH Initiative Official Website
PAH Initiative Official Website
September 15, 2025
myPHteam

PAH is not diagnosed in numbered stages like Stage 1-4. Instead, doctors use a classification system called WHO Functional Classes to describe how advanced someone's PAH is based on their symptoms and clinical testing.

The WHO Functional Classes range from Class 1 to Class 4
• Class 1: Few symptoms, even during physical Show Full Answer

PAH is not diagnosed in numbered stages like Stage 1-4. Instead, doctors use a classification system called WHO Functional Classes to describe how advanced someone's PAH is based on their symptoms and clinical testing.

The WHO Functional Classes range from Class 1 to Class 4:
• Class 1: Few symptoms, even during physical activity
• Class 4: Symptoms of right heart failure even while resting

It's important to note that being in Class 4 doesn't necessarily mean "end-stage" PAH, as some people can improve with treatment. To determine PAH severity and progression, healthcare providers look at several factors:
• Pulmonary arterial pressure measurements
• Blood flow patterns in your heart and lungs
• Results from various tests like echocardiograms and right heart catheterization
• Your specific type of PAH
• Other health factors

These measurements help doctors understand how advanced your PAH is and determine the most appropriate treatments for your situation.

September 15, 2025

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