The European Heart Rate Association (EHRA) developed a classification for atrial fibrillation based on symptom severity. This can help to determine the impact of symptoms on the patient and can be used to monitor the effect of interventions over time.
Patient selection: atrial fibrillation
Parameters:
(1) symptoms associated with atrial fibrillation
(1a) palpitations
(1b) fatigue
(1c) dizziness
(1d) dyspnea
(1e) chest pain
(1f) anxiety
(2) impact of symptoms on daily activities (impairment)
Symptom Severity
Daily Activities
EHRA Grade
asymptomatic
normal
I
mild
normal
II
moderate to severe
affected
III
disabling
discontinued
IV
In the implementation EHRA Grade II can be mildly affected.
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