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Studies warn that patients with atrial fibrillation should avoid heavy alcohol consumption

 


According to a study published in, drinking 14 drinks a week is associated with an increased risk of health problems such as stroke and embolism in patients with atrial fibrillation. EP Euro Pace, Journal of the European Society of Cardiology (ESC).

Our study suggests that patients with atrial fibrillation should avoid heavy alcohol consumption to prevent stroke and other complications. “

Dr. Boyoung Joung, Author of Yonsei University Medical University, Seoul, Republic of Korea

The study included 9,411 patients with atrial fibrillation from 18 tertiary hospitals covering all geographic regions of South Korea. Patients were divided into four groups according to their weekly alcohol consumption (14 grams of alcohol per cup): abandoned / rare (0 grams / less than 1 cup), light (100). Less than gram / 7 glasses), medium (100-200 grams / 7-14 drinks), and heavy (200 grams / 14 drinks or more).

A total of 7,455 (79.2%) patients were abstained / rare, 795 (8.4%) were mild, 345 (3.7%) were moderate, and 816 (8.7%) were classified as heavy alcohol intake. ..

Patients have a median of 17.4 months for adverse events including stroke, transient ischemic attack, systemic embolism (thrombus in the extremities or organs), rate or rhythm control of atrial fibrillation or hospitalization for heart failure. It was tracked. management. Researchers recorded the number of patients who experienced any of these events and calculated the incident rate (number of events per 100 person-years). Incidences were 6.73, 5.77, 6.44, and 9.65 for abstainers / rare, light, moderate, and heavy drinkers, respectively.

The researchers compared the risk of adverse events in light drinkers, moderate drinkers, and heavy drinkers with abstainers / rare groups. Heavy drinking was associated with a 32% increase in risk compared to abstainers and rare drinkers. No significant association was observed for light or moderate alcohol consumption.

Dr. Joung said: “Our study found no significant association between mild or moderate alcohol consumption and complications. A significant detrimental association with heavy drinking was identified and heavy alcohol consumption should be avoided. It was suggested that. “

Subgroup analysis showed that the effects of heavy drinking were more pronounced in patients at low risk of stroke compared to those at moderate or high risk of stroke. Similarly, heavy drinking was associated with a higher likelihood of unfavorable consequences for patients without hypertension compared to those with hypertension. Higher risk was also observed in patients who did not take beta-blockers or antiplatelet drugs compared to those who took the drug.

Dr. Joung said: “The results of this study show that heavy drinking is particularly harmful to patients with atrial fibrillation, who are considered less susceptible to complications. Clinicians ask patients about their alcohol consumption and are at risk of stroke. Must be taken into account when calculating. “

He concluded that “heavy drinking should not be strongly recommended among patients with atrial fibrillation, but moderate drinking seems to be safe.”

Source:

Journal reference:

Rim, C. , et al. (2020) Effect of alcohol intake on risk of adverse events of atrial fibrillation: From the Comparative Study of Drugs (CODE-AF) registry for symptom control of atrial fibrillation and prevention of complications. EP Euro pace. doi.org/10.1093/europace/euaa340..

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