HATCH Score (AF Progression Risk)
HATCH score (de Vos 2010): hypertension, age > 75, TIA/stroke, COPD, and heart failure give a 0–7 score predicting progression from paroxysmal to persistent atrial fibrillation.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Hypertension
- Yes
- Age > 75 years
- No
- TIA or stroke
- Yes
- COPD
- No
- Heart failure
- No
Result: HATCH 3 — higher progression risk (> 2).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- 0-2
- Lower risk of progression from paroxysmal to persistent AF.
- > 2
- Higher progression risk. Hypertension, age > 75, TIA/stroke (+2), COPD, heart failure (+2). Not a rhythm-control order.
What you enter
- Hypertension (+1)
- Age > 75 years (+1)
- TIA or stroke (+2)
- COPD (+1)
- Heart failure (+2)
How this is calculated
de Vos CB, Pisters R, Nieuwlaat R, et al. Progression from paroxysmal to persistent atrial fibrillation: clinical correlates and prognosis. J Am Coll Cardiol. 2010;55(8):725-731. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.