Alcohol and Atrial Fibrillation A Sobering Review

10 Dec 2016Aleksandr Voskoboinik, MBBS; Sandeep Prabhu, MBBS; Liang-han Ling, MBBS, PhD; Jonathan M. Kalman, MBBS, PhD; Peter M. Kistler, MBBS, PhD

Alcohol is an important risk factor for Atrial Fibrillation through direct effects on the atrial substrate, and by contributing to hypertension, obesity, and systolic blood pressure. Habitual drinking at moderate levels, as well as binge drinking, predisposes to Atrial Fibrillation, with an increase in Atrial Fibrillation recurrence in those who continue to drink. Although a small amount of alcohol is considered cardioprotective, these benefits do not extend to Atrial Fibrillation.

Meta Analysis
5 effects
12 years
900000 subjects

Reported Outcomes

CausesOutcomeCertainty

Alcohol Beverage risk & protective factor
Alcohol
Beverage

Thrombosis Cardiovascular outcome
Increased risk of Thrombosis
Cardiovascular system

High evidence
33.0%

Alcohol Beverage risk & protective factor
Alcohol
Beverage

Atrial Fibrillation Cardiovascular outcome
Increased risk of Atrial Fibrillation
Cardiovascular system

High evidence
55.0%

Alcohol Beverage risk & protective factor
Alcohol
Beverage

Thrombosis Cardiovascular outcome
Strong increased risk of Thrombosis
Cardiovascular system

High evidence
178.0%

Alcohol Beverage risk & protective factor
Alcohol
Beverage

Blood Pressure - Hypertension Cardiovascular outcome
Increased risk of Blood Pressure - Hype...
Cardiovascular system

High evidence
40.0%

Alcohol Beverage risk & protective factor
Alcohol
Beverage

Atrial Fibrillation Cardiovascular outcome
Increased risk of Atrial Fibrillation
Cardiovascular system

High evidence
47.0%