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Alcohol consumption and risk of atrial fibrillation - results from the BiomarCaRE Consortium
- Csengeri, D. (author)
- Spruenker, N. A. (author)
- Di Castelnuovo, A. (author)
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- Niiranen, T. (author)
- Magnussen, C. (author)
- Lochen, M. J. (author)
- Kee, F. (author)
- Blankenberg, S. (author)
- Jørgensen, T. (author)
- Kuulasmaa, K. (author)
- Zeller, T. (author)
- Salomaa, V. (author)
- Iacoviello, L. (author)
- Schnabel, R. (author)
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- (creator_code:org_t)
- Oxford University Press, 2018
- 2018
- English.
- In: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 39, s. 902-903
- Journal article (other academic/artistic)
Abstract
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- Background: Atrial fibrillation (AF) is an arrhythmia with high impact on public health. Among modifiable risk factors for the disease the role of alcohol consumption (AC) has remained inconsistent.Purpose: To assess the association between AC and incident AF across European cohorts.Methods: To study the association between self-reported AC and incident AF in N=107,845 community-based individuals from the BiomarCaRE consortium, 106,915 individuals free of AF at baseline were followed up for AF and stroke after AF. We assessed AC using validated questionnaires. Biomarkers N-terminal pro B-type natriuretic peptide (Nt-proBNP) and high sensitivity troponin I (hsTnI) were measured.Results: The median age of individuals was 47.8 years, 48.3% were men. The median of right-winsorized AC was 3 g/day. N=6,055 individuals developed AF (median follow-up time: 13.9 years). In a linear multivariable-adjusted Cox regression analyses, AC was linearly and positively associated with incident AF (Figure), hazard ratio (HR) per g/day 1.009, 95% confidence interval (CI) 1.007- 1.012, P<0.001. For one drink (12g) per day the HR was 1.15, CI 1.12–1.18, P<0.001. There was a high heterogeneity in associations across cohorts.No significant interactions of the association by Nt-proBNP and hsTnI were observed. AC was positively related to stroke risk after diagnosis of AF (HR 1.18, 95% CI 1.04–1.34, P=0.012).Conclusions: In contrast to other cardiovascular diseases, we did not observe a U-shaped association of alcohol with incident AF in the community, but a rather linearly increasing relation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
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- Csengeri, D.
- Spruenker, N. A.
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- Niiranen, T.
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- Magnussen, C.
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- Lochen, M. J.
- Kee, F.
- Blankenberg, S.
- Jørgensen, T.
- Kuulasmaa, K.
- Zeller, T.
- Salomaa, V.
- Iacoviello, L.
- Schnabel, R.
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