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In a message dated 10/22/04 9:32:36 PM Pacific Daylight Time,

sander@... writes:

> So anyway, there seems to be at least a 'supposed' link between alcohol and

> AF with medical personel.

>

>

Sander,

You're right. Every doctor with whom I have spoken has believed in a

connection between alcohol and afib.

in sinus in Seattle

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When the paramedics were at my house when I had my first serious afib

episode they asked my wife if I'd been drinking much or did drugs the

previous night (it was 6.30 AM). I don't drink, on't smoke and don't do

drugs either :-) I was just a reasonably healthy but tired 34 year old at

the time.

So anyway, there seems to be at least a 'supposed' link between alcohol and

AF with medical personel.

Sander

_____

From: billy171john

Sent: Friday, October 22, 2004 6:05 PM

To: AFIBsupport

Subject: alcohol controversy

I got plenty of opposition the last time I said alcohol was deeply

tied to AF. Here is a new study which confirms this connection.

This link is to heart center online .

Regard

http://www.heartcenteronline.com/myheartdr/home/research-detail.cfm?

reutersid=4765 & nl=4

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>

> I got plenty of opposition the last time I said alcohol was deeply

> tied to AF. Here is a new study which confirms this connection.

> This link is to heart center online .

> Regard

>

> http://www.heartcenteronline.com/myheartdr/home/research-

detail.cfm?

> reutersid=4765 & nl=4

If you go into any ER and ask them when they see the most AF cases

they will tell you it's usually during/after " party " weekends when

people binge on alchol. So a link between *too much* alchohol

consumption triggering AF in *some* people is well known.

However, *moderate* alchohol consumption has been shown to be very

beneficial.

I missed the earlier thread, so I'm not sure why there was

opposition to that.

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Kathy Burkett wrote:

Hi Sander and :

I have been told that about alcohol as well, but in my

case I really do believe there is a link. I was never

a really heavy drinker, but had a few beers on the

weekend. I do remember a couple of times before being

diagnosed with AF that after a night of having some

drinks, I would feel very tired the next day and feel

my heart kind of rumbling around in there, kind of

like Mt. St. Helens before it blew. My first true AF

diagnosis was a night after my husband and I went to

dinner and had mexican food and drinks. That is when

things took off. I do believe that for me, alcohol is

a true factor for the cause of AF. I have had a

couple of " sips " lately with no harm, no foul, but I

also did not have a glass or more.

Kat in OH

Spicy and acidic foods can be triggers in themselves. Combine that with certain

types of alcohol, wine in my case (acidic), it can be a trigger. From the

study, 1.7% of respondents were alcoholic users and were in Afib or experiencing

flutter. That doesn't sound like a very strong correlation to me. I am in

permanent A-fib, which is hardly noticeable. Having alcoholic beverages does

make it more noticeable. Did the use of alcohol put me into A-fib to begin with?

Who knows?

__________________________________________________

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>

>

> However, *moderate* alchohol consumption has been shown to be very

> beneficial.

>

I saw the original study and I thought at the time that the 46%

increase between the group that drunk least and the group that drunk

most was actually less than you might have thought - I would have

expected 2 or 3 times.

The study recommends no more than a couple of drinks a day to avoid

increaing risk of Afib which seems sensible.

Mark

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> > However, *moderate* alchohol consumption has been shown to be

very

> > beneficial.

snip ...

> Mark

Here

Yes you see that is the controversy that light alcohol might

be 'beneficial " or at least harmless. My view is there is more to

worry about than is observed in the study . There are lots of reasons

that light drinking does not reveal itself in the study as a concern.

I never drank more than ligth moderation in the era of my AF onset .

In that early time a single glass of wine would bring on AF while

nothing else seemed to . I never had any " alcohol problem " and remain

very OK about others drinking if they are not suffering AF.

Regardless if light drinking contributes to only a small number of

cases once Af is established I think there is significant evidence

that alcohol is a one of a kind trigger. This is because a metabolate

of alcohol is severly toxoic to the heart. Incidently a significant

number of people have the worst effects as the alcohol in the

withdrawal stage, which can be up to three days after drinking .

I think abstaining from alcohol is wise for AF sufferers .

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The catch-22 is that supposedly a glass of red wine a day keeps your heart

healthy, maybe due to preventing clots. So perhaps alcohol can cause AF in

some people while at the same time helping to prevent the main danger of AF

(stroke due to clots).

Oh well. It's never simple, is it? :-)

Sander (who doesn't drink a drop)

_____

From: billy171john

Sent: Sunday, October 24, 2004 12:23 AM

To: AFIBsupport

Subject: Re: alcohol controversy

> > However, *moderate* alchohol consumption has been shown to be

very

> > beneficial.

snip ...

> Mark

Here

Yes you see that is the controversy that light alcohol might

be 'beneficial " or at least harmless. My view is there is more to

worry about than is observed in the study . There are lots of reasons

that light drinking does not reveal itself in the study as a concern.

I never drank more than ligth moderation in the era of my AF onset .

In that early time a single glass of wine would bring on AF while

nothing else seemed to . I never had any " alcohol problem " and remain

very OK about others drinking if they are not suffering AF.

Regardless if light drinking contributes to only a small number of

cases once Af is established I think there is significant evidence

that alcohol is a one of a kind trigger. This is because a metabolate

of alcohol is severly toxoic to the heart. Incidently a significant

number of people have the worst effects as the alcohol in the

withdrawal stage, which can be up to three days after drinking .

I think abstaining from alcohol is wise for AF sufferers .

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TO: Sander. Thank you. One of the first things I learned about this damnably

complex illness is that no single statement fits all. I'm lucky in that I don't

have

to worry about " triggers " because I'm permanent-chronic, but I continue to be

amazed at the array of things that trigger for some, are nothing for others.

When I was " triggering " in initial stages, cold drinks were nothing for me, for

example, but seem to tip the scales for so many others. Onward. Thanks

again. Kathleen (24/7, atenolol, digoxin, coumadin).

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just to continue the controversy :) .....

I don't believe one shoe fits all when it comes to triggers.

Since I almost always go into AF with a slow heart rate and

alcohol raises my heart rate I've not had any problems and

I suspect there have been times when I've not gone into AF

because of the higher rates.

I'm not suggesting alcohol is a good remedy(!) but equally I

don't believe you can say 100% of the people with AF should

completely abstain, it's just another one of those

individual problems.

Please take it easy though, I think we all know alcohol in

large quantities is a bad idea regardless of AF.

--

D

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