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66 ± 47.50 vs 77.87 ± 39.09 ng/ml; P less then 0.05); the left atrial diameters were positively correlated with the plasma Neu5Ac level (R = 0.255; P less then 0.05). The plasma Neu5Ac level (R = 0.368; P less then 0.05) and the left atrial diameters (R = 0.402; P less then 0.05) were positively correlated with AF history times. Neu5Ac (odds ratio 1.018, 95% CI 1.003-1.032; P less then 0.05) and the left atrial diameter (odds ratio 1.142, 95% CI 1.020-1.280; P less then 0.05) were independent risk factors for AF in multivariate regressi