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Individual A-Fib Episodes Tied to Recent Alcohol Intake

AF episodes also linked to higher odds of peak blood alcohol concentration, total area under curve of alcohol exposure

TUESDAY, Aug. 31, 2021 (HealthDay News) — Individual atrial fibrillation (AF) episodes are associated with increased odds of recent alcohol consumption, according to a study published online Aug. 31 in the Annals of Internal Medicine.

Gregory M. Marcus, M.D., from the University of California in San Francisco, and colleagues conducted a prospective, case-crossover analysis involving ambulatory patients with paroxysmal AF who were fitted with a continuous electrocardiogram (ECG) monitor and ankle-worn transdermal ethanol sensor for four weeks. Participants self-recorded each alcoholic drink consumed using a button on the ECG device.

The researchers found that 56 of the 100 participants had at least one episode of AF. An AF episode was associated with increased odds of one alcoholic drink and at least two alcoholic drinks in the preceding four hours (odds ratios, 2.02 and 3.58, respectively). Associations were also seen for AF episodes with elevated odds of peak blood alcohol concentration (odds ratio, 1.38 per 0.1 percent increase in blood alcohol concentration) and total area under the curve of alcohol exposure (odds ratio, 1.14 per 4.7 percent increase in alcohol exposure).

“Alcohol consumption, documented objectively and in real time, substantially increased the risk for an AF episode within a few hours,” the authors write. “These data show that the occurrence of AF may be neither random nor completely unpredictable, but rather that identifiable, common, and even imminently modifiable exposures are associated with discrete AF events.”

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