Clinical Resources
EHRA AF Symptom Score
Modified EHRA Classification of AF-Related Symptoms
Standardized grading of AF symptom burden. Guides the decision between rate control (EHRA I–IIa) and rhythm control strategies (EHRA IIb–IV). Based on the modified 2017 EHRA classification.
I
None
AF does not cause any symptoms. Normal daily activity is not affected.
IIa
Mild
Mild symptoms related to AF. Normal daily activity is not affected by symptoms.
IIb
Moderate
Moderate symptoms related to AF. Normal daily activity is not affected but the patient is troubled by symptoms.
III
Severe
Severe symptoms related to AF. Normal daily activity is affected.
IV
Disabling
Disabling symptoms. Normal daily activity is discontinued.
Common AF Symptoms
Palpitations, fatigue, dizziness, dyspnea, chest pain/tightness, anxiety, exercise intolerance, and sleep disturbance.