Management of Atrial Fibrillation Around the World
Management of Atrial Fibrillation Around the World
There is international consensus that rhythm management should be guided by patients' symptoms. In order to simplify symptom severity, the ESC guidelines recommend the European Heart Rhythm Association (EHRA) score based on symptoms associated with AF. Similar to the New York Heart Association (NYHA) class for heart failure, it establishes four groups ranging from patients with no symptoms at all (EHRA I) to patients with disabling symptoms (EHRA IV). In contrast, CCS guidelines recommend the assessment of quality of life using the validated CCS SAF scale. This score measures symptoms attributable to AF and the impact on the patient's general quality of life. There are five groups (0–4) ranging from no (CCS SAF 0) to severe effect on quality of life (CCS SAF 4). The ACCF/AHA/HRS update does not discuss evaluation of symptoms.
Symptoms
There is international consensus that rhythm management should be guided by patients' symptoms. In order to simplify symptom severity, the ESC guidelines recommend the European Heart Rhythm Association (EHRA) score based on symptoms associated with AF. Similar to the New York Heart Association (NYHA) class for heart failure, it establishes four groups ranging from patients with no symptoms at all (EHRA I) to patients with disabling symptoms (EHRA IV). In contrast, CCS guidelines recommend the assessment of quality of life using the validated CCS SAF scale. This score measures symptoms attributable to AF and the impact on the patient's general quality of life. There are five groups (0–4) ranging from no (CCS SAF 0) to severe effect on quality of life (CCS SAF 4). The ACCF/AHA/HRS update does not discuss evaluation of symptoms.
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