{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:42:26Z","timestamp":1785177746931,"version":"3.55.0"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,6,15]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">There is limited evidence of long\u2010term impact of exercise\u2010based cardiac rehabilitation (CR) on clinical end points for patients with atrial fibrillation (AF). We therefore compared 18\u2010month all\u2010cause mortality, hospitalization, stroke, and heart failure in patients with AF and an electronic medical record of exercise\u2010based CR to matched controls.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">This retrospective cohort study included patient data obtained on February 3, 2021 from a global federated health research network. Patients with AF undergoing exercise\u2010based CR were propensity\u2010score matched to patients with AF without exercise\u2010based CR by age, sex, race, comorbidities, cardiovascular procedures, and cardiovascular medication. We ascertained 18\u2010month incidence of all\u2010cause mortality, hospitalization, stroke, and heart failure. Of 1\u00a0366\u00a0422 patients with AF, 11\u00a0947 patients had an electronic medical record of exercise\u2010based CR within 6\u2010months of incident AF who were propensity\u2010score matched with 11\u00a0947 patients with AF without CR. Exercise\u2010based CR was associated with 68% lower odds of all\u2010cause mortality (odds ratio, 0.32; 95% CI, 0.29\u20130.35), 44% lower odds of rehospitalization (0.56; 95% CI, 0.53\u20130.59), and 16% lower odds of incident stroke (0.84; 95% CI, 0.72\u20130.99) compared with propensity\u2010score matched controls. No significant associations were shown for incident heart failure (0.93; 95% CI, 0.84\u20131.04). The beneficial association of exercise\u2010based CR on all\u2010cause mortality was independent of sex, older age, comorbidities, and AF subtype.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Exercise\u2010based CR among patients with incident AF was associated with lower odds of all\u2010cause mortality, rehospitalization, and incident stroke at 18\u2010month follow\u2010up, supporting the provision of exercise\u2010based CR for patients with AF.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.020804","type":"journal-article","created":{"date-parts":[[2021,6,5]],"date-time":"2021-06-05T09:11:57Z","timestamp":1622884317000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":39,"title":["Exercise\u2010Based Cardiac Rehabilitation and All\u2010Cause Mortality Among Patients With Atrial Fibrillation"],"prefix":"10.1161","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1479-8872","authenticated-orcid":false,"given":"Benjamin J. 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