Forrester Heart Failure Class

Clinical Use

Predict in-hospital mortality in patient with acute myocardial infarction and heart failure using invasive hemodynamic assessment

Information

The Forrester classification was based on the clinical and hemodynamic evaluation of 200 patients. It assigns patients to four categories:

 

Forrester ClassPCWP (mmHg)Cardiac Index (L/min/m2)In-hospital Mortality
I< 18≥ 2.22%
II≥ 18≥ 2.210%
III< 18< 2.212%
IV≥ 18< 2.254%

Reference

1.Forrester, J, Diamond, G, Chatterjie, K et al. Medical therapy of acute myocardial infarction by application of hemodynamic subsets (first of two parts). N Engl J Med. 1976; 295: 1356–1362 View Abstract

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Developer: Sirikarn Napan, MD, FACC