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Alcohol consumption and risk of heart failure in older patients with hypertension

Alcohol consumption and risk of heart failure in older patients with hypertension Although a high level of alcohol consumption is associated with cardiomyopathy, the benefit or risk of moderate alcohol consumption on incident heart failure (is unclear. A study examined the association between alcohol consumption and risk for HF in older adults with hypertension.

6,083 participants aged 65 to 84 years at baseline (1995 to 2001)were included in the study. Two were followed for an average of 10.8 years during and after the Second Australian National Blood Pressure Study. Participants self reported frequency and amount of alcohol consumption at baseline and during the clinical trial. The percentages of current drinkers, former drinkers, and never-drinkers at baseline were 72%, 6%, and 21%, respectively. Incident HF was diagnosed in 183 men and 136 women.

The study found that alcohol consumption was not significantly associated with heart failure. Compared with never-drinkers, the adjusted hazard ratios (95% confidence interval) for those who consume 1 to 7, 8 to 14, and >14 drinks/week at baseline were 0.87, 0.96 and 0.71, respectively in women, and 0.81, 0.77 and 1.04 respectively in men.

The lack of an association between alcohol consumption and risk of heart failure persisted in the analyses comparing the risk of heart failure across each level of drinking at baseline or at follow-up with never-drinkers.

In the present study, there was no evidence for benefit or risk of alcohol consumption, reported at baseline or at follow-up, in relation to incident heart failure in both men and women.

Source: Relation of Alcohol Consumption to Risk of Heart Failure in Patients Aged 65 to 84 Years With Hypertension. Sahle BW, Owen AJ, Wing LMH, Beilin LJ, Nelson MR, Jennings GLR, Reid CM. Am J Cardiol. 2018 Aug 11. pii: S0002-9149(18)31410-3.

doi.org/10.1016/j. amjcard.2018.06.046

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