dc.contributor.author | Csengeri, Dora | |
dc.contributor.author | Sprünker, Ngoc-Anh | |
dc.contributor.author | Di Castelnuovo, Augusto F | |
dc.contributor.author | Niiranen, Teemu | |
dc.contributor.author | Vishram-Nielsen, Julie K.K. | |
dc.contributor.author | Costanzo, Simona | |
dc.contributor.author | Soderberg, Stefan | |
dc.contributor.author | Jensen, Steen M | |
dc.contributor.author | Vartiainen, Erkki | |
dc.contributor.author | Donati, Maria Benedetta | |
dc.contributor.author | Magnussen, Christina | |
dc.contributor.author | Camen, Stephan | |
dc.contributor.author | Gianfagna, Francesco | |
dc.contributor.author | Løchen, Maja-Lisa | |
dc.contributor.author | Kee, Frank | |
dc.contributor.author | Kontto, Jukka | |
dc.contributor.author | Mathiesen, Ellisiv B. | |
dc.contributor.author | Koenig, Wolfgang | |
dc.contributor.author | Blankenberg, Stefan | |
dc.contributor.author | de Gaetano, Giovanni | |
dc.contributor.author | Jørgensen, Torben | |
dc.contributor.author | Kuulasmaa, Kari | |
dc.contributor.author | Zeller, Tanja | |
dc.contributor.author | Salomaa, Veikko | |
dc.contributor.author | Iacoviello, Licia | |
dc.contributor.author | Schnabel, Renate B. | |
dc.date.accessioned | 2022-02-23T09:11:33Z | |
dc.date.available | 2022-02-23T09:11:33Z | |
dc.date.issued | 2021-01-13 | |
dc.description.abstract | Aims<p>
<p>There is inconsistent evidence on the relation of alcohol intake with incident atrial fibrillation (AF), in particular at lower doses. We assessed the association between alcohol consumption, biomarkers, and incident AF across the spectrum of alcohol intake in European cohorts.<p>
<p>Methods and results <p> In a community-based pooled cohort, we followed 107 845 individuals for the association between alcohol consumption, including types of alcohol and drinking patterns, and incident AF. We collected information on classical cardiovascular risk factors and incident heart failure (HF) and measured the biomarkers N-terminal pro-B-type natriuretic peptide and high-sensitivity troponin I. The median age of individuals was 47.8 years, 48.3% were men. The median alcohol consumption was 3 g/day. N = 5854 individuals developed AF (median follow-up time: 13.9 years). In a sex- and cohort-stratified Cox regression analysis alcohol consumption was non-linearly and positively associated with incident AF. The hazard ratio for one drink (12 g) per day was 1.16, 95% CI 1.11–1.22, P < 0.001. Associations were similar across types of alcohol. In contrast, alcohol consumption at lower doses was associated with reduced risk of incident HF. The association between alcohol consumption and incident AF was neither fully explained by cardiac biomarker concentrations nor by the occurrence of HF.<p>
<p>Conclusions
<p>In contrast to other cardiovascular diseases such as HF, even modest habitual alcohol intake of 1.2 drinks/day was associated with an increased risk of AF, which needs to be considered in AF prevention. | en_US |
dc.identifier.citation | Csengeri, Sprünker, Di Castelnuovo AF, Niiranen T, Vishram-Nielsen JK, Costanzo S, Soderberg S, Jensen, Vartiainen E, Donati MB, Magnussen C, Camen S, Gianfagna F, Løchen M, Kee F, Kontto J, Mathiesen EB, Koenig W, Blankenberg S, de Gaetano G, Jørgensen T, Kuulasmaa K, Zeller T, Salomaa V, Iacoviello L, Schnabel RB. Alcohol consumption, cardiac biomarkers, and risk of atrial fibrillation and adverse outcomes. European Heart Journal. 2021;42(12):1170-1177 | en_US |
dc.identifier.cristinID | FRIDAID 1986005 | |
dc.identifier.doi | 10.1093/eurheartj/ehaa953 | |
dc.identifier.issn | 0195-668X | |
dc.identifier.issn | 1522-9645 | |
dc.identifier.uri | https://hdl.handle.net/10037/24113 | |
dc.language.iso | eng | en_US |
dc.publisher | Oxford University Press | en_US |
dc.relation.journal | European Heart Journal | |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020-EU.1.1./648131/Germany/Novel multimodal approach to atrial fibrillation risk assessment and identification of targets for prevention by interdisciplinary exploitation of omics, advanced electrocardiography, and imaging/MMAF/ | en_US |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020-EU.3.1.2./847770/Germany/DIGITAL, RISK-BASED SCREENING FOR ATRIAL FIBRILLATION IN THE EUROPEAN COMMUNITY/AFFECT-EU/ | en_US |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/FP7-HEALTH/278913/Germany/Biomarker for Cardiovascular Risk Assessment in Europe/BIOMARCARE/ | en_US |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/FP7-HEALTH/242244/Greece/Consortium on Health and Ageing: Network of Cohorts in Europe and the United States/CHANCES/ | en_US |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/FP7-HEALTH/201413/Finland/European Network for Genetic and Genomic Epidemiology/ENGAGE/ | en_US |
dc.rights.accessRights | openAccess | en_US |
dc.rights.holder | Copyright 2021 The Author(s) | en_US |
dc.title | Alcohol consumption, cardiac biomarkers, and risk of atrial fibrillation and adverse outcomes | en_US |
dc.type.version | publishedVersion | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |