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Among 3,806 patients (2.5%) developed new-onset AF and 31,603 (17.5%) patient had pre-existing AF. After multivariable-adjusted modeling, new-onset AF was associated with increased odds of stroke within 1 month (odds ratio 1.31, 95% confidence interval 1.12 to 1.53; p less then 0.001)], mortality (odds ratio 3.74; 95% confidence interval 3.30 to 4.24; p less then 0.001) and longer length of stay in the hospital (10 days; interquartile range 6 to 16 days; p less then 0.001). New-onset AF portends a poor prognosis in patients with ASCVD