Int J Arrhythm.  2023 Sep;24(3):20. 10.1186/s42444-023-00102-5.

Association between alcohol consumption and subclinical atrial fibrillation

• Yu G
• Kim D
• Yu H
• Kim T
• Oh I
• Park J
• Park H
• Park J
• Lee Y
• Kang K
• Shim J
• Sung J
• Choi E
• Joung B
• The AF-Pacemaker Study Group

• KMID: 2546793
• DOI: http://doi.org/10.1186/s42444-023-00102-5

Abstract

Background
It has become important to identify and manage risk factors for subclinical atrial fibrillation (AF) with an increase in its detection rate. Thus, this research aimed to investigate whether alcohol consumption contrib‑ utes to the development of subclinical AF.
Methods
This prospective study enrolled 467 patients without AF from a multicenter pacemaker registry. The incidence of subclinical AF (episodes of atrial rate > 220 beats per minute without symptoms) was compared between alcohol-drinking and non-drinking groups.
Results
During followup (median 18 months), the incidence and risk of long-duration atrial high-rate episodes (AHRE) ≥ 24 h were increased in the alcohol group compared to the non-alcohol group [5.47 vs. 2.10 per 100 personyears, adjusted hazard ratio (HR), 2.83; 95% confidence interval (CI), 1.14–7.04; P = 0.03]. After propensity score match‑ ing, the incidence and risk of long-duration AHRE were higher in the alcohol group (6.97 vs. 1.27 per 100 personyears, adjusted HR, 7.84; 95% CI, 1.21–50.93; P = 0.03). The mean burden of long-duration subclinical AF was higher in the alcohol group than in the non-alcohol group (0.18 vs. 1.61% during follow-up, P = 0.08).
Conclusion
Alcohol consumption was associated with an increased risk of subclinical AF. Long-duration AHRE inci‑ dence and AHRE burden were higher in alcohol drinkers than in non-drinkers.

Keyword

Pacemaker; Subclinical atrial fibrillation; Atrial high-rate episodes; Alcohol