Background: Atrial fibrillation (AF) is the most common arrhythmia in clinical practice, is associated with an increased incidence of stroke, congestive heart failure, and higher mortality. Pulmonary embolism severity index (PESI) is the accepted score to predict short term mortality. In this study, we tried to find the relation between PESI score and new onset Lone-AF in patients with APE. \n Methods: Between May 2012 and December 2015, 869 patients\' data were evaluated. Patients were diagnosed with APE by pulmonary CT angiography or V/Q sintigraphy. We aimed to include a population with lone AF after APE. The following conditions were excluded, including hypertension, structural heart disease, hepatic or renal dysfunction, chronic obstructive pulmonary disease, thyroid dysfunction, diabetes mellitus or sleep apnea. In addition, none of the participants had any history of inflammatory or infection disease or recent (within the last 4 weeks) trauma or surgery; none was under treatment with nonsteroidal anti‑inflammatory or corticosteroids drugs. After exclusion period, 42 lone-AF and 107 non-AF patients were included. PESI score was calculated for every patient. \n Results: In patients with lone AF, the mean age was 62,79± 4,05 years, and 54.8% were male, in Non-AF group the mean age was 59,45±12,34 years, and 51,4% were male. No significant differences were observed between two groups with age, gender, their systolic and diastolic blood pressure, heart rate, fasting glucose, and serum creatinin (p > 0.05).Uric acid, CRP and erythrocyte sedimentation rate levels were higher in Lone-AF patients, this difference was not statistically significant(p>0,05 ). Lone-AF patients showed a larger LVEDD and LAD(p<0.05).There was no statistically significant difference between two groups in LV ejection fraction, TAPSE and SPAB(p>0.05).PESI scores were higher in Lone-AF group, this difference was statistically significant(p<0.05).In the univariate regression analysis, LVEDD, LAD, uric acid levels and PESI scores were univariate predictors of Lone-AF.\n Conclusion: Our study demonstrated that lone AF patients have a higher level of PESI score compared to age and gender‑matched Non-AF control patients. PESI score were positively correlated and associated with lone-AF. PESI score is helpful in the short time prognostic assessment of patients with acute PE and according to our study result; PESI score can be useful to predict lone-AF in patients with APE.