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Risk Factors for New-Onset AF in Patients Who Visit Hospital In symptomatic patients or those who visit hospital for the management of chronic disease, information on cardiacspecific examinations can be obtained for risk stratification of new-onset AF. In previous studies, several echocardiographic findings such as LA size4,6,7 and diastolic dysfunction7,8 were found to be predictors of new-onset AF. In addition, the premature atrial contraction (PAC) count on B ecause the presence of atrial fibrillation (AF) is the major cause of cardiogenic thromboembolism, anticoagulation therapy is an important therapeutic strategy to prevent cardiogenic stroke in patients with overt AF. However, stroke can even occur in patients without obvious AF, and in apparently healthy individuals in the general population. Therefore, both prevention and early detection of AF are important, prior to initiating anticoagulation therapy in order to prevent subsequent cardiogenic stroke1 in both the general healthy population and in patients who visit hospital. In patients with nonvalvular AF, the CHADS2 and CHA2DS2-VASc scores are widely used in risk stratification for cardiogenic stroke. In contrast, in patients without AF, although the risk factors for new-onset AF in the general population have been reported,2–5 a robust risk score for new-onset AF has not yet been established. If physicians in daily clinical practice can know the definite risk factors for new-onset AF and take into account the management of these risk factors in patients without AF, a reduction in the incidence of cardiogenic stroke can be expected.

Risk Factors for New-Onset Atrial Fibrillation in the General Population and Patients Who Visit Hospital