The Impact of the COVID-19 Pandemic on Incidences of Atrial Fibrillation and Electrical Cardioversion at a Tertiary Care Emergency Department: An Inter- and Intra-year Analysis.

However, the intra-year analysis of the year 2020 showed a trend toward decreased atrial fibrillation incidences (rate-ratio 0.982, CI 0.964–1.001, p = 0.060), and significantly increased electrical cardioversion incidences in the post-lockdown period (rate ratio 1.051, CI 1.008–10.96, p = 0.020).

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Even though our trend of decreased non-COVID-19 AF rates in an inter-year analysis did not reach statistical significance, our findings are in line with recent international data: Holt et al. report on a nationwide 47%-decrease in new-onset AF coded by the registry-based healthcare system, and warn of complications of underdiagnosis ( 1 ).

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