Objective To explore the emotional disorders (anxiety and depression) and the hospital anxiety and depression scale (HADS) , the Zungself evaluation scale (SAS/SDS), Hamilton anxiety and depression scale (HAMA/HRSD) in assessment anxiety and depression among atrial fibrillation (AF).To explore the feasibility of the HADS as a conventional screened implement for anxiety and depressive disorder of the AF patients in general hospital.Methods A total 179 patients with AF who have tested by HADS and SAS/SDS completed the HAMA/ HRSD.Analyses with respect to internal consistency, and agreement (Kappa coefficient and McNemar test).Results The results of HADS are anxiety occurred in 38.0% (68 cases) while depression occurred in 48.04% (86 cases).The results of SAS / SDS are anxiety occurred in 39.7% (71 cases) while depression occurred in 43.0% (77 cases).The results of HAMA/HRSD are anxiety occurred in 36.3% (65 cases)while depression occurred in 42.5% (76 cases)of 179 patients diagnosed with AF.The agreement with HADa, SAS and HAMA their Kappa values were 0.438, 0.337 ,respectively (P<0.01).The agreement with HADd, SDS and HAMD their Kappa values were 0.416, 0.395, respectively (P<0.01).Conclusion Atrial fibrillation patients usually have emotional disorders (anxiety or depression).The consistency between HADS and HAMA/HRSD to screen anxiety and depressive disorder was high.HADS could be employed as a diagnostic screened implement for anxiety and depressive disorder of AF patients in general hospital.