Evidence map›Paper›PMID 20638933›Full record

ArticleHeart rhythm2010

Light-to-moderate alcohol consumption and risk of sudden cardiac death in women.

Stephanie E Chiuve, Eric B Rimm, Kenneth J Mukamal, Kathryn M Rexrode, Meir J Stampfer, JoAnn E Manson, Christine M Albert

Abstract read
In one paragraph

Article in Heart rhythm, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Management of patients with an electrical storm or clustered ventricular arrhythmias: a clinical consensus statement of the European Heart Rhythm Association of the ESC-endorsed by the Asia-Pacific Heart Rhythm Society, Heart Rhythm Society, and Latin-American Heart Rhythm Society.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  7. Article
  8. Alcohol and Cardiac Arrythmias: A Review of the Current Data.Reviews in cardiovascular medicine · 2023
    Review
  9. Alcohol intake and bradyarrhythmia risk: a cohort study of 407 948 individuals.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Article
  10. Review
  11. Article
  12. Alcohol consumption and risk of cardiovascular outcomes and bleeding in patients with established atrial fibrillation.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Observational
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Observational
  19. Article
  20. Focus on: women and the costs of alcohol use.Alcohol research : current reviews · 2013
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stephanie E ChiuveCenter for Arrhythmia Prevention, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. schiuve@hsph.harvard.edu
Eric B Rimm
Kenneth J Mukamal
Kathryn M Rexrode
Meir J Stampfer
JoAnn E Manson
Christine M Albert

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ROSNER, BERNARD A · 2000 to 2019
$77.8M
RISK FACTORS FOR CVD IN WOMENR01HL034594 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI JoAnn Elisabeth Manson, Lu Qi · 1985 to 2026
$13.8M
Genetic Determinants of Sudden Cardiac DeathR01HL068070 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ALBERT, CHRISTINE M · 2003 to 2006
$2.3M
MODIFIABLE RISK FACTORS FOR SUDDEN DEATH IN MEN/WOMENK08HL003783 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ALBERT, CHRISTINE M · 1998 to 2002
$362k
NCI NIH HHS CA-87969NCI NIH HHS P01 CA087969NHLBI NIH HHS HL-03783NHLBI NIH HHS HL-068070NHLBI NIH HHS HL-34594NHLBI NIH HHS K08 HL003783NHLBI NIH HHS R01 HL034594NHLBI NIH HHS R01 HL068070
6 · The paper itself

Abstract

backgroundModerate alcohol intake is associated with lower risk of coronary heart disease (CHD), but the association with sudden cardiac death (SCD) is less clear. In men, heavy alcohol consumption may increase risk of SCD, whereas light-to-moderate alcohol intake may lower risk. There are no parallel data among women.

objectiveThe purpose of this study was to assess the association between alcohol intake and risk of SCD among women and to investigate how this risk compared to other forms of CHD.

methodsWe conducted a prospective cohort study among 85,067 women from the Nurses' Health Study who were free of chronic disease at baseline. Alcohol intake was assessed every 4 years through questionnaires. Primary endpoints included SCD, fatal CHD, and nonfatal myocardial infarction.

resultsWe found a U-shaped association between alcohol intake and risk of SCD, with the lowest risk among women who drank 5.0-14.9 g/day of alcohol (P for quadratic trend = 0.02). Compared to abstainers, the multivariate relative risk (95% confidence interval) for SCD was 0.79 (0.55-1.14) for former drinkers, 0.77 (0.57-1.06) for 0.1-4.9 g/day, 0.64 (0.43-0.95) for 5.0-14.9 g/day, 0.68 (0.38-1.23) for 15.0-29.9 g/day, and 1.15 (0.70-1.87) for ≥30.0 g/day. In contrast, the relationship of alcohol intake and nonfatal and fatal CHD was more linear (P for linear trend <.001).

conclusionIn this cohort of women, the relationship between light-to-moderate alcohol intake and SCD is U-shaped, with a nadir at 5.0-14.9 g/day. Low levels of alcohol intake do not raise the risk of SCD and may lower risk in women.

Indexed as

Alcohol DrinkingAdultCoronary DiseaseDeath, Sudden, CardiacEthanolFemaleHumansMiddle AgedMyocardial InfarctionRiskRisk FactorsSurveys and QuestionnairesEthanol

Identifiers

PMID20638933
PMCPMC2946479

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.