Display options
Share it on

J Atr Fibrillation. 2016 Dec 31;9(4):1505. doi: 10.4022/jafib.1505. eCollection 2016 Dec.

Impact of Alcohol Consumption on Atrial Fibrillation Outcomes Following Pulmonary Vein Isolation.

Journal of atrial fibrillation

Waseem Y Barham, William H Sauer, Blake Fleeman, Michael Brunnquell, Wendy Tzou, Ryan Aleong, Joseph Schuller, Matthew Zipse, Christine Tompkins, Duy T Nguyen

Affiliations

  1. University of Colorado, Section of Cardiac Electrophysiology, Division of Cardiology, Aurora, Colorado.

PMID: 29250261 PMCID: PMC5673320 DOI: 10.4022/jafib.1505

Abstract

BACKGROUND: Moderate to heavy alcohol use has been shown to be associated with increased atrial fibrillation (AF) incidence. However, the relationship between alcohol use and AF recurrence after pulmonary vein isolation (PVI) is not well known.

OBJECTIVE: We sought to study the impact of different alcohol consumption levels on outcomes after AF ablation.

METHODS: A retrospective analysis was performed of 226 consecutive patients undergoing first time PVI for AF. Clinical data were collected including alcohol intake classified into 3 groups: none-rare (< 1 drink/ week), moderate (1-7 drinks/ week), and heavy (> 7 drinks/ week). Patients were followed for recurrences within the first 3 months (blanking period; early recurrence) and after 3 months up to 1 year (late recurrence) after the ablation.

RESULTS: Paroxysmal and persistent AF had early recurrence rates of 29.1% and 32.2%, and late recurrence rates of 30.2% and 44.1%, respectively. The none-rare alcohol group had a higher frequency of diabetes mellitus (p=0.007). Neither moderate or heavy alcohol consumption, in reference to the none-rare group, was significantly predictive of early or late AF recurrence on adjusted multivariate logistic regression analysis (p>0.05).

CONCLUSION: Despite known associations between alcohol and incidence of AF, alcohol consumption is not associated with early or late AF recurrence after PVI in this cohort.

Keywords: alcohol; arrhythmia; atrial fibrillation; catheter ablation; pulmonary vein isolation; recurrence

References

  1. Arch Intern Med. 2004 Oct 11;164(18):1993-8 - PubMed
  2. Clin Cardiol. 2015 May;38(5):317-22 - PubMed
  3. Am J Med. 2009 Sep;122(9):851-856.e3 - PubMed
  4. J Biomed Inform. 2009 Apr;42(2):377-81 - PubMed
  5. Europace. 2011 May;13(5):634-9 - PubMed
  6. Neth J Med. 2005 Feb;63(2):59-63 - PubMed
  7. Chin J Physiol. 2012 Oct 31;55(5):307-13 - PubMed
  8. J Am Coll Cardiol. 2015 May 26;65(20):2159-69 - PubMed
  9. Lancet. 1984 Nov 3;2(8410):1013-5 - PubMed
  10. BMJ. 2011 Feb 22;342:d671 - PubMed
  11. Am J Cardiol. 2004 Mar 15;93(6):710-3 - PubMed
  12. Am Heart J. 1978 May;95(5):555-62 - PubMed
  13. Am J Cardiol. 1998 Aug 1;82(3):317-22 - PubMed
  14. J Am Coll Cardiol. 2011 Jan 25;57(4):427-36 - PubMed
  15. Eur J Cardiovasc Prev Rehabil. 2010 Dec;17(6):706-12 - PubMed
  16. JAMA. 2008 Dec 3;300(21):2489-96 - PubMed
  17. J Am Coll Cardiol. 2014 Jul 22;64(3):290-2 - PubMed
  18. J Am Coll Cardiol. 1983 Mar;1(3):816-8 - PubMed
  19. J Cardiopulm Rehabil Prev. 2014 May-Jun;34(3):159-71 - PubMed
  20. Alcohol Clin Exp Res. 1987 Oct;11(5):474-6 - PubMed
  21. Am Heart J. 1976 Jan;91(1):66-78 - PubMed
  22. N Engl J Med. 1998 May 7;338(19):1369-73 - PubMed
  23. Am J Cardiol. 2012 Aug 1;110(3):364-8 - PubMed
  24. J Am Coll Cardiol. 2014 Dec 2;64(21):2222-31 - PubMed
  25. Alcohol Clin Exp Res. 2014 May;38(5):1247-54 - PubMed
  26. Alcohol Clin Exp Res. 2013 Aug;37(8):1286-94 - PubMed
  27. J Am Heart Assoc. 2015 Nov 09;4(11):null - PubMed
  28. Am Heart J. 2007 Feb;153(2):260-6 - PubMed
  29. Arq Bras Cardiol. 2013 Aug;101(2):183-9 - PubMed
  30. J Clin Invest. 1974 Sep;54(3):740-52 - PubMed
  31. Circ J. 2010 Oct;74(10):2029-38 - PubMed
  32. Am J Clin Nutr. 2011 Feb;93(2):261-6 - PubMed

Publication Types