{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:40:37Z","timestamp":1791326437800,"version":"4.3.1"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"23","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Canadian Institutes of Health Research Strategy for Patient Oriented Research"},{"name":"Hamilton Health Sciences New Investigator Fund"},{"name":"Canadian Network and Centre for Trials Internationally"},{"name":"Hamilton Health Sciences Research Strategic Initiative"},{"name":"McMaster University Surgical Associates"},{"name":"Academic Health Science Centres Alternative Funding Plan Innovation Fund Ontario"},{"name":"Population Health Research Institute Internal Funding Program"},{"name":"General Research Fund","award":["14101414"],"award-info":[{"award-number":["14101414"]}]},{"name":"Research Grant Council"},{"name":"Hong Kong Special Administrative Region"},{"DOI":"10.13039\/501100004386","name":"University of Malaya","doi-asserted-by":"publisher","award":["RG302-14AFR"],"award-info":[{"award-number":["RG302-14AFR"]}],"id":[{"id":"10.13039\/501100004386","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Heart Foundation of Australia Vanguard Grant","award":["101034"],"award-info":[{"award-number":["101034"]}]},{"name":"National Health and Medical Research Program"},{"name":"British Heart Foundation Personal Chair","award":["CH\/F\/21\/90010"],"award-info":[{"award-number":["CH\/F\/21\/90010"]}]},{"name":"Research Excellence","award":["RE\/18\/5\/34216"],"award-info":[{"award-number":["RE\/18\/5\/34216"]}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI13\/00502"],"award-info":[{"award-number":["PI13\/00502"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>New-onset atrial fibrillation (AF) is the most common complication of cardiac surgery. We aimed to describe the incidence of postoperative AF (POAF), its management, and its relationship to long-term outcomes in a prospective multi-centre cohort, as our current understanding comes primarily from registries and single-centre studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>VISION Cardiac Surgery was a prospective cohort of adults who underwent cardiac surgery in 12 countries. The association of POAF with outcomes occurring between 30 days and 1 year postoperatively was estimated using a multivariable Cox model adjusted for patient and operative characteristics and for antithrombotic therapies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 12 234 patients (55.3% isolated coronary artery bypass grafting), 31.8% had POAF within 30 days of surgery. The proportion of participants with POAF who received anticoagulation alone at hospital discharge was 15.6%, 54.3% received antiplatelets alone, 23.9% received anticoagulation and antiplatelets, and 6.3% received neither; 48.8% were receiving amiodarone. At 1 year, clinical AF was detected in 6.9% of patients with POAF compared to 0.6% in those without [adjusted hazard ratio (aHR), 11.30; 95% confidence interval (CI) 8.17\u201315.70]. The primary composite outcome of stroke or vascular death occurred in 2.3% of patients with POAF and 1.5% in those without POAF (aHR 1.32; 95% CI 0.99\u20131.77). Patients with POAF had a higher risk of all-cause death (3.0% vs 1.7%; aHR 1.54; 95% CI 1.18\u20132.00).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>New-onset POAF occurs in a third of patients after cardiac surgery; its antithrombotic and antiarrhythmic management varies. Patients with POAF have increased risks of both clinical AF and of all-cause death in the year following surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurheartj\/ehag236","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T13:00:54Z","timestamp":1773838854000},"page":"2968-2977","source":"Crossref","is-referenced-by-count":9,"title":["New-onset postoperative atrial fibrillation management and outcomes: the VISION Cardiac Surgery cohort"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6082-7542","authenticated-orcid":false,"given":"William F","family":"McIntyre","sequence":"first","affiliation":[{"name":"Population Health Research Institute , 237 Barton St E, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]},{"name":"McMaster University Department of Medicine, , 1280 Main St W, 48S 4L8, Hamilton, Ontario ,","place":["Canada"]},{"name":"Hamilton Health Sciences , 237 Barton St East, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2935-637X","authenticated-orcid":false,"given":"P J","family":"Devereaux","sequence":"additional","affiliation":[{"name":"Population Health Research Institute , 237 Barton St E, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]},{"name":"McMaster University Department of Medicine, , 1280 Main St W, 48S 4L8, Hamilton, Ontario ,","place":["Canada"]},{"name":"Hamilton Health Sciences , 237 Barton St East, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5071-076X","authenticated-orcid":false,"given":"Emilie P","family":"Belley-Cote","sequence":"additional","affiliation":[{"name":"Population Health Research Institute , 237 Barton St E, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]},{"name":"McMaster University Department of Medicine, , 1280 Main St W, 48S 4L8, Hamilton, Ontario ,","place":["Canada"]},{"name":"Hamilton Health Sciences , 237 Barton St East, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1267-9455","authenticated-orcid":false,"given":"Jessica D","family":"Spence","sequence":"additional","affiliation":[{"name":"Population Health Research Institute , 237 Barton St E, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]},{"name":"McMaster University Department of Medicine, , 1280 Main St W, 48S 4L8, Hamilton, Ontario ,","place":["Canada"]},{"name":"Hamilton Health Sciences , 237 Barton St East, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Population Health Research Institute , 237 Barton St E, L8L 2X2, Hamilton, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T V","family":"Chan","sequence":"additional","affiliation":[{"name":"The Chinese University of Hong Kong , Room G07, G\/F, Choh-Ming Li Basic Medical Sciences Building, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir V","family":"Lomivorotov","sequence":"additional","affiliation":[{"name":"Novosibirsk State University , 52 Krasnyy Ave, 630091, Novosibirsk ,","place":["Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8594-5980","authenticated-orcid":false,"given":"Giovanni","family":"Landoni","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute , Via Olgettina 58, 20132 Milan ,","place":["Italy"]},{"name":"School of Medicine, Vita-Salute San 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