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EHRA Score for Atrial Fibrillation-Related Symptoms

EHRA Grade Clinical Manifestation Possible Pathophysiological Changes
EHRA I None AF does not cause any symptoms
EHRA IIa Mild Normal daily activities are not affected by AF-related symptoms
EHRA IIb Moderate Normal daily activities are not affected by AF-related symptoms, but the patient is troubled by the symptoms
EHRA III Severe Normal daily activities are affected by AF-related symptoms
EHRA IV Disabling Normal daily activities are discontinued

Description

AF: Atrial Fibrillation;

a: EHRA IIa and IIb can be distinguished by assessing whether AF symptoms affect the patient's function. The most common AF-related symptoms are fatigue/exhaustion, exertional dyspnea, or less commonly, palpitations and chest pain.

To facilitate follow-up of AF patients, the severity of AF symptoms is quantified internationally using the EHRA score.

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