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Background. The aim of our work was to identify the links between platelet amino acid (AA) spectrum and gut microbiota composition in patients with coronary artery disease (CAD) and atrial fibrillation (AF) and to evaluate them. Materials and methods. Three hundred patients were enrolled in the study. They were divided into 3 groups: I (CAD) — 149 patients with CAD but without arrhythmias, II (CAD + AF) — 124 people with CAD and AF paroxysm, and control group (CG) — 27 individuals without CAD and arrhythmias. Platelet AA level was assessed by method of ion-exchange liquid column chromatography. Gut microbiota composition was studied by 16-S rRNA sequencing. Results. A significant increase in isoleucine (10.73 %), leucine (12.63 %) and a decrease in threonine (23.05 %), serine (5.06 %), glycine (32.21 %) and valine (30.83 %) platelets levels was found in patients with CAD and AF (P < 0.05). In addition, they had a significant increase in Bacteroides spp., Faecalibacterium prausnitzii, Actinobacter spp., Streptococcus spp., Ruminococcus spp. and a decrease in Lactobacillus spp., Bifidobacterium spp., Eubacterium rectale (P < 0.05). Platelet glutamine acid, valine, glycine, asparagine acid, threonine had the highest number of significant correlations with gut microbiota species (P < 0.05). Actinobacter spp., Blautia spp., Streptococcus spp., Akkermansia muciniphila and Roseburia inulinivorans had the highest number of significant correlations with platelet amino acids (P < 0.05). Conclusions. Platelet amino acid spectrum and gut microbiota composition in patients with coronary artery disease and atrial fibrillation are closely linked. [ABSTRACT FROM AUTHOR]