EHRA Score

The original EHRA score had 4 classes. It was modified by the European Heart Rhythm Association to split Class II into IIa and IIb based on whether symptoms "trouble" the patient. This split is clinically vital because it represents the exact threshold where European and American guidelines recommend considering rhythm control therapies.

EHRA scores can fluctuate based on ventricular rate. Always assess the EHRA score when the patient is in AF, and document whether their rate was controlled at the time of assessment.