Growth differentiation factor-15 (GDF-15) is a member of the transforming growth factor β superfamily. 1 Its expression is correlated with diverse stimuli, including oxidation, inflammation, hypoxia, tissue injuries, and so on. 2,3 Cardiovascular disease is also closely related to GDF-15 production. 4 As a popular cardiovascular disease, atrial fibrillation (AF) poses high burden globally. Moreover, about five million new cases are diagnosed annually. Thus, substantial efforts are made toward the mechanism and treatment of AF. 5 Studies found that plasma GDF-15 level is high in patients with AF. 6,7 GDF-15 involves in left atrial remodeling and acts as a predictor of AF