Arrhythmias & electrophysiology

Changes in alcohol consumption habits and risk of atrial fibrillation: a nationwide population-based study

Eur J Prev CardiolPublished Retrospective cohort study

Main finding · Incident AFResult — go to the resultHazard ratio 0.379 95% CI 0.169–0.853

Authors' conclusion

Absolute abstinence could reduce the incidence of AF in heavy alcohol drinkers.

Study context

Population
Atrial fibrillation (AF)-free heavy habitual drinkers in the Korean National Health Insurance Service database (2005–2008), drinking change classified 2009–2012
Participants
19,425 participants
Exposure
Absolute abstinence or reduced drinking vs sustained heavy drinking
Outcome
New-onset AF
Methodological detailsnationwide population-based, inverse probability of treatment weighting (IPTW) analysis
  • Nationwide population-based
  • IPTW analysis

Main finding

Incident AF

Hazard ratio

0.379

95% CI 0.169–0.853

Absolute abstinence vs Sustained heavy drinking
HR 0.379 (95% CI 0.169–0.853)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Incident AF with abstinence, by subgroup

Abstinence significantly reduced incident AF in those with normal BMI and without hypertension, DM, dyslipidaemia, HF, stroke, CKD or CAD
all P-value <0.05

Original publication

Changes in alcohol consumption habits and risk of atrial fibrillation: a nationwide population-based study. Eur J Prev Cardiol. Published 6 September 2023. doi:10.1093/eurjpc/zwad270

Summarised from the published abstract; every number is checked against it

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