Table 5. INTERMACS Clinical Profiles
Level
Time Frame
for Intervention
Description
Hemodynamic Status
1
Critical
cardiogenic shock
��� ���crash and burn���
Persistent hypotension
Within hours
despite rapidly escalating
inotropic support and
eventually intraaortic
balloon pump (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
Within days
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
Elective over weeks ���
to months
4
Resting symptoms
��� ���frequent flyer���
Possible weaning of
inotropes but experiencing
recurrent relapses, usually
fluid retention
Elective over weeks ���
to months
5
Exertion
intolerant,
housebound
Severe limited tolerance for
activity, comfortable at rest
with some volume overload
and often with some renal
dysfunction
Variable urgency, dependent
on nutrition and organ
function
6
Exertion limited
��� ���walking
wounded���
Less severely limited
tolerance for activity and
lack of volume overload,
fatigue easily
Variable urgency, dependent
on nutrition and organ
function
7
Advanced NYHA
III ��� ���symptoms,
placeholder���
Patient without current
or recent unstable fluid
balance, NYHA class II
or III
Not currently indicated
