Atrial Fibrillation

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info
  • NYHA I

    No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation or dyspnea
  • NYHA II

    Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation or dyspnea
  • NYHA III

    Marked limitation of physical activity. Comfortable at rest but less than ordinary activity results in fatigue, palpitation or dyspnea
  • NYHA IV

    Unable to carry on any physical activity without discomfort. Symptoms at rest. If any physical activity is undertaken, discomfort is increased
    SYMPTOMS DURING ATRIAL FIBRILLATION

  • EHRA I

    ‘No symptoms’
  • EHRA II

    ‘Mild symptoms’; normal daily activity not affected
  • EHRA III

    ‘Severe symptoms’; normal daily activity affected
  • EHRA IV

    ‘Disabling symptoms’; normal daily activity discontinued

  • Source: 2010 ESC Guidelines for the management of atrial Fibrillation (European Heart Journal doi:10.1093/eurheartj/ehq278)
  • First diagnosed episode of atrial fibrillation

  • Paroxysmal
    (usually ≤ 48h)

  • Persistent
    (>7 daysor requires CV)

  • Long-standing Persistent
    (>1 year)

  • Permanent
    (accepted)

  • Different types of AF. AF = atrial fibrillation; CV =cardioversion.
    The arrhythmia tends to progress from paroxysmal (self-terminating, usually <48h) to persistent [non-self-terminating or requiring cardioversion (CV)], long-standing persistent (lasting longer than 1 year) and eventually to permanent (accepted) AF.
    First-onset AF may be the first of recurrent attacks or already be deemed permanent.
    Source:2010 ESC Guidelines for the management of atrial Fibrillation (European Heart Journal doi:10.1093/eurheartj/ehq278)
EGSYS Score
Characteristics Score
Palpitations preceding syncope +4
Heart disease or abnormal EKG or both +3
Syncope during effort +3
Syncope while supine +2
Precipitating or predisposing factors or both (Warm-crowded place, prolonged orthostasis, fear, pain, emotion) -1
Autonomic prodrome (nausea / vomiting) -1