Coronary disease & ACSCohort study

Long-Term Continuous Monitoring of New-Onset Atrial Fibrillation After Coronary Artery Bypass Grafting

JAMAPublished

  • Prospective cohort study
  • multicentre

Enrolled November 2019 through November 2023; 1-year follow-up

Authors' conclusion

Although the incidence of new-onset AF after CABG in this study was higher than previously reported, the AF burden in these patients was very low, especially after 30 days.

Study context

Population
Patients with 3-vessel CAD or left main disease and no history of arrhythmias undergoing coronary artery bypass grafting (CABG) with an insertable cardiac monitor, 2 German academic centres, 2019–20231,217 assessed
Participants
198 patients
Outcome
Cumulative incidence of new-onset AF
Follow-up
Within a year of surgery

Main finding

As reported in the abstract

first year after CABG

New-onset atrial fibrillation (AF), 95 patients; cumulative incidence

48% (95% CI 41%-55%)

Observational data: associations, not effects.

Secondary outcomes

AF burden · first year

Median AF burden, first year (IQR 0.02%-0.23%), or 370 minutes
0.07%
Median AF burden, days 1–7 (IQR 0.95%-9.09%), 368 minutes
3.65%
Median AF burden, days 8–30 (IQR 0%-1.21%), 13 minutes
0.04%
Median AF burden, days 31–365 (IQR 0%-0.0003%), 0 minutes
0%

AF episode >24 hours after discharge

Patients with an AF episode longer than 24 hours after discharge
3

Original publication

Long-Term Continuous Monitoring of New-Onset Atrial Fibrillation After Coronary Artery Bypass Grafting. JAMA. Published 25 November 2025. doi:10.1001/jama.2025.14891

Summarised from the published abstract; every number is checked against it