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A total of 45,205 admissions were included. The implementation of an EHR-based electronic handover message exchange in our institution began in July 2016. The mean age of the patient population was 66.4 years; 60.4% were men. The mean systolic blood pressure was 138.3 mmHg and diastolic blood pressure 74.4 mmHg. Congestive heart failure was present in 10.8% and valvular heart disease in 9.8%. The in-hospital mortality rate was 2.6% and the mortality rate 30 days after discharge was 4.9%. After the implementation of EHR-based electronic handover message exchange, the occurrence of new AF within 30 days after surgery was reduced from 9.4% to 7.5% (p = 0.006). This reduction was more pronounced in patients with valvular heart disease (p = 0.02) and in patients with moderate renal failure (p = 0.01). 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