Ross Classification (Pediatric Heart Failure)
Ross classification (Ross 1992; modified 2012) of heart failure in infants and children (classes I-IV) — the pediatric functional classification of heart-failure severity, the pediatric counterpart to the adult NYHA class.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Ross class
- Class III - marked symptoms with growth failure
Result: Ross class III: marked tachypnea and/or diaphoresis with feeds or exertion, with prolonged feeding time and growth failure.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Class I / II
- I: no symptoms. II: mild tachypnea / diaphoresis with feeds or dyspnea on exertion; no growth failure.
- Class III
- Marked tachypnea / diaphoresis with feeds or exertion, with growth failure.
- Class IV
- Symptomatic at rest: tachypnea, retractions, grunting, and/or diaphoresis.
What you enter
- Ross class
How this is calculated
Ross RD, Bollinger RO, Pinsky WW. Grading the severity of congestive heart failure in infants. Pediatr Cardiol. 1992;13(2):72-75. Modified: Ross RD. Pediatr Cardiol. 2012;33(8):1295-1300. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.