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The American Heart Association and American College of Cardiology Foundation stags heart failure as: Stage A—Have high risk for heart failure without structural heart disease or heart failure symptoms Stage B—Structural heart disease without heart failure signs or symptoms Stage C—Structural heart disease with previous or current heart failure symptoms Stage D—Heart failure that is not responding to standard treatment that needs specialized interventions The New York Heart Association NYHA classifies heart failure based on symptoms and how they affect your abilities.