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No Link Between Moderate Coffee Intake And Increased Risk Of Cardiac Arrhythmia

Discussion in 'Cardiology' started by Mahmoud Abudeif, Jul 31, 2021.

  1. Mahmoud Abudeif

    Mahmoud Abudeif Golden Member

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    In the largest study of its kind, an investigation by UC San Francisco has found no evidence that moderate coffee consumption leads to a greater risk of cardiac arrhythmia.

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    In fact, each additional daily cup of coffee consumed among several hundred thousand individuals was associated with a 3 per cent lower risk of any arrhythmia occurring, including atrial fibrillation, premature ventricular contractions, or other common heart conditions, the researchers report. The study included a four-year follow up.

    “Coffee is the primary source of caffeine for most people, and it has a reputation for causing or exacerbating arrhythmias,” said senior and corresponding author Gregory Marcus, professor of medicine in the Division of Cardiology at UCSF.

    “But we found no evidence that caffeine consumption leads to a greater risk of arrhythmias,” said Marcus, who specialises in the treatment of arrhythmias. “Our population-based study provides reassurance that common prohibitions against caffeine to reduce arrhythmia risk are likely unwarranted.”

    While some professional societies suggest avoiding caffeinated products to lower the risk for arrhythmia, this connection has not been consistently demonstrated – indeed, coffee consumption may have anti-inflammatory benefits and is associated with reduced risks of some illnesses including cancer, diabetes, and Parkinson’s disease.

    In the new study, UCSF scientists explored whether habitual coffee intake was associated with a risk of arrhythmia, and whether genetic variants that affect caffeine metabolism could modify that association. Their investigation was conducted via the community-based UK Biobank, a prospective study of participants in England’s National Health Services.

    Some 386,258 coffee drinkers took part in the coffee research, with an average mean age of 56 years; slightly more than half were female. It was an unprecedented sample size for this type of inquiry.

    In addition to a conventional analysis examining self-reported coffee consumption as a predictor of future arrhythmias, the investigators employed a technique called “Mendelian Randomisation,” leveraging genetic data to infer causal relationships. As those with the genetic variants associated with faster caffeine metabolism drank more coffee, this analysis provided a method to test the caffeine-arrhythmia relationship in a way that did not rely on participant self-report and should have been immune to much of the confounding inherent to most observational studies.

    With a mean four-year follow up, data were adjusted for demographic characteristics, health and lifestyle habits.

    Ultimately, approximately 4 per cent of the sample developed an arrhythmia. No evidence of a heightened risk of arrhythmias was observed among those genetically predisposed to metabolise caffeine differently. The researchers said that higher amounts of coffee were actually associated with a 3 per cent reduced risk of developing an arrhythmia.

    The authors noted limitations including the self-reporting nature of the study, and that detailed information on the type of coffee – such as espresso or not – was unavailable.

    “Only a randomised clinical trial can definitively demonstrate clear effects of coffee or caffeine consumption,” said Marcus. “But our study found no evidence that consuming caffeinated beverages increased the risk of arrhythmia. Coffee’s antioxidant and anti-inflammatory properties may play a role, and some properties of caffeine could be protective against some arrhythmias.”

    The paper was published July 19, 2021, in JAMA Internal Medicine.

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