Treatment guidelines for nonvalvular atrial fibrillation (AF) recommend use of non–vitamin K antagonist oral anticoagulants (NOACs) over warfarin. However, clinical trials did not include individuals with post cardiac surgery AF. We sought to compare outcomes with NOACs vs warfarin for new onset post cardiac surgery AF.

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Patient operated with MVR with Tissue valve with AF ablation post op 2 years reverted to A F with controlled heart rate. What is better NOACs or warfarin