Classification of complaints related to atrial fibrillation according to the modified EHRA score (mEHRA)

EHRA, EHRA scale, modified EHRA scale, fibrillation, atrial fibrillation
mEHRA scoreSymptoms/Description
1No symptoms
Mild symptoms – normal daily activity non affected, symptoms not troublesome to patient
Moderate symptoms – normal daily activity non affected, but patient troubled by symptoms
3Severe symptoms – normal daily activity affected
4Disabling symptoms – normal daily activity discontinued

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History of definite or probable MI (EKG changes and/or enzyme changes)

Exertional or paroxysmal nocturnal dyspnea and has responded to digitalis, diuretics, or afterload reducing agents

Intermittent claudication or past bypass for chronic arterial insufficiency, history of gangrene or acute arterial insufficiency, or untreated thoracic or abdominal aneurysm (≥6 cm)

History of a cerebrovascular accident with minor or no residua and transient ischemic attacks

Chronic cognitive deficit

Any history of treatment for ulcer disease or history of ulcer bleeding

Severe = cirrhosis and portal hypertension with variceal bleeding history, moderate = cirrhosis and portal hypertension but no variceal bleeding history, mild = chronic hepatitis (or cirrhosis without portal hypertension)

Severe = on dialysis, status post kidney transplant, uremia, moderate = creatinine >3 mg/dL (0.27 mmol/L)


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