Table 4 INTERMACS clinical profile [4]
From: Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
Level | Description | Hemodynamic status |
|---|---|---|
1 | Critical cardiogenic shock, “crash and burn” | Persistent hypotension despite rapidly escalating inotropic support and eventually IABP, and critical organ hypoperfusion |
2 | Progressive decline on inotropic support, “sliding on inotropes” | Intravenous inotropic support with acceptable values of blood pressure and continuing deterioration in nutrition, renal function, or fluid retention |
3 | Stable but inotrope dependent, “dependent stability” | Stability reached with mild to moderate doses of inotropes but demonstrating failure to wean from them because of hypotension, worsening symptoms, or progressive renal dysfunction |
4 | Resting symptoms, “frequent flyer” | Possible weaning of inotropes but experiencing recurrent relapses, usually fluid retention |
5 | Exertion intolerant, housebound | Severe limited tolerance for activity, comfortable at rest with some volume overload and often with some renal dysfunction |
6 | Exertion limited, “walking wounded” | Less severe limited tolerance for activity and lack of volume overload, fatigue easily |
7 | Advanced NYHA III “symptoms, placeholder” | Patient without current or recent unstable fluid balance, NYHA class II or III |