Coronary disease & ACSCohort study

Drinking patterns of alcohol and risk of major adverse cardiovascular events after an acute coronary syndrome

Eur J Prev CardiolPublished

  • Prospective cohort study
  • multicentre
  • 4 Swiss centres

Authors' conclusion

Binge drinking during the year following an ACS, even less than once per month, is associated with worse clinical outcomes.

Study context

Population
Patients hospitalised for acute coronary syndromes (ACS) at four Swiss centres
Participants
6,557 patients
Exposure
Weekly alcohol consumption categories and binge drinking vs abstinence / no binge drinking
  • Heavy weekly consumptionn = 817
Outcome
Major adverse cardiovascular events (MACE):
  • Cardiac death
  • MI
  • Stroke
  • Clinically indicated target vessel coronary revascularization
Follow-up
12 months

Main finding

As reported in the abstract

MACE
Hazard ratio (95% CI)
Heavy vs Abstinence
0.97(0.69–1.36)
Heavy vs Light
1.41(0.97–2.06)
Binge <1 episode/month vs No binge drinking
1.61(1.23–2.11)
Binge ≥1 episode/month vs No binge drinking
2.17(1.66–2.83)

Observational data: associations, not effects.

Original publication

Drinking patterns of alcohol and risk of major adverse cardiovascular events after an acute coronary syndrome. Eur J Prev Cardiol. Published 23 November 2023. doi:10.1093/eurjpc/zwad364

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