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0
no dyspnea, no angina
1+
mild, noticable dyspnea
1+
Light, barely noticable angina
2+
mild, some difficulty dyspnea
2+
moderate, bothersome angina
3+
moderate difficulty, but can continue dyspnea
3+
severe, very uncomfortable: preinfarction pain
4+
severe difficultt, cannot continue dyspnea
4+
most pain ever experienced: infarction pain