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Coffee consumption and mortality after acute myocardial infarction: The Stockholm Heart Epidemiology Program

Background Cohort studies have suggested little effect of coffee consumption on risk of acute myocardial infarction. The effect of coffee consumption on prognosis after myocardial infarction is uncertain. Methods In a population-based inception cohort study, we followed 1,369 patients hospitalized w...

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Published in:The American heart journal 2009-03, Vol.157 (3), p.495-501
Main Authors: Mukamal, Kenneth J., MD, MPH, Hallqvist, Johan, MD, PhD, Hammar, Niklas, PhD, Ljung, Rickard, MD, MPH, PhD, Gémes, Katalin, MSc, Ahlbom, Anders, PhD, Ahnve, Staffan, MD, PhD, Janszky, Imre, MD, PhD
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description Background Cohort studies have suggested little effect of coffee consumption on risk of acute myocardial infarction. The effect of coffee consumption on prognosis after myocardial infarction is uncertain. Methods In a population-based inception cohort study, we followed 1,369 patients hospitalized with a confirmed first acute myocardial infarction between 1992 and 1994 in Stockholm County, Sweden, as part of the Stockholm Heart Epidemiology Program. Participants reported usual coffee consumption over the preceding year with a standardized questionnaire distributed during hospitalization and underwent a health examination 3 months after discharge. Participants were followed for hospitalizations and mortality with national registers through November 2001. Results A total of 289 patients died during follow-up. Compared with intake of
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The effect of coffee consumption on prognosis after myocardial infarction is uncertain. Methods In a population-based inception cohort study, we followed 1,369 patients hospitalized with a confirmed first acute myocardial infarction between 1992 and 1994 in Stockholm County, Sweden, as part of the Stockholm Heart Epidemiology Program. Participants reported usual coffee consumption over the preceding year with a standardized questionnaire distributed during hospitalization and underwent a health examination 3 months after discharge. Participants were followed for hospitalizations and mortality with national registers through November 2001. Results A total of 289 patients died during follow-up. Compared with intake of &lt;1 cup per day, coffee consumption was inversely associated with mortality, with multivariable-adjusted hazard ratios of 0.68 (95% confidence interval [CI] 0.45-1.02) for 1 to &lt;3 cups, 0.56 (95% CI 0.37-0.85) for 3 to &lt;5 cups, 0.52 (95% CI 0.34-0.83) for 5 to &lt;7 cups, and 0.58 (95% CI 0.34-0.98) for ≥7 cups per day ( P trend .06). Coffee intake was not associated with hospitalization for congestive heart failure or stroke. Candidate lipid and inflammatory biomarkers did not appear to account for the observed inverse association with mortality. Conclusions Self-reported coffee consumption at the time of hospitalization for myocardial infarction was inversely associated with subsequent postinfarction mortality in this population with broad coffee intake. If confirmed in other settings, identification of relevant mechanisms could lead to an improved prognosis for survivors of acute myocardial infarction.</description><identifier>ISSN: 0002-8703</identifier><identifier>ISSN: 1097-6744</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2008.11.009</identifier><identifier>PMID: 19249420</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Atrial Fibrillation - epidemiology ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular ; Cholesterol ; Coffee ; Coronary heart disease ; Drinking ; Female ; Health risk assessment ; Heart ; Heart attacks ; Heart Failure - epidemiology ; Hospitalization ; Humans ; Male ; Medical sciences ; MEDICIN ; Medicin och hälsovetenskap ; MEDICINE ; Middle Aged ; Mortality ; Myocardial Infarction - mortality ; Myocarditis. Cardiomyopathies ; Prognosis ; Risk Factors ; Stroke - epidemiology ; Sweden - epidemiology</subject><ispartof>The American heart journal, 2009-03, Vol.157 (3), p.495-501</ispartof><rights>Mosby, Inc.</rights><rights>2009 Mosby, Inc.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Elsevier Limited Mar 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c655t-86128995cbb5bb576ecfd3007daf965da78138cbff6c84a70c15c1b715a9f83d3</citedby><cites>FETCH-LOGICAL-c655t-86128995cbb5bb576ecfd3007daf965da78138cbff6c84a70c15c1b715a9f83d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21234923$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19249420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-123693$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:118409937$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Mukamal, Kenneth J., MD, MPH</creatorcontrib><creatorcontrib>Hallqvist, Johan, MD, PhD</creatorcontrib><creatorcontrib>Hammar, Niklas, PhD</creatorcontrib><creatorcontrib>Ljung, Rickard, MD, MPH, PhD</creatorcontrib><creatorcontrib>Gémes, Katalin, MSc</creatorcontrib><creatorcontrib>Ahlbom, Anders, PhD</creatorcontrib><creatorcontrib>Ahnve, Staffan, MD, PhD</creatorcontrib><creatorcontrib>Janszky, Imre, MD, PhD</creatorcontrib><title>Coffee consumption and mortality after acute myocardial infarction: The Stockholm Heart Epidemiology Program</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Cohort studies have suggested little effect of coffee consumption on risk of acute myocardial infarction. The effect of coffee consumption on prognosis after myocardial infarction is uncertain. Methods In a population-based inception cohort study, we followed 1,369 patients hospitalized with a confirmed first acute myocardial infarction between 1992 and 1994 in Stockholm County, Sweden, as part of the Stockholm Heart Epidemiology Program. Participants reported usual coffee consumption over the preceding year with a standardized questionnaire distributed during hospitalization and underwent a health examination 3 months after discharge. Participants were followed for hospitalizations and mortality with national registers through November 2001. Results A total of 289 patients died during follow-up. Compared with intake of &lt;1 cup per day, coffee consumption was inversely associated with mortality, with multivariable-adjusted hazard ratios of 0.68 (95% confidence interval [CI] 0.45-1.02) for 1 to &lt;3 cups, 0.56 (95% CI 0.37-0.85) for 3 to &lt;5 cups, 0.52 (95% CI 0.34-0.83) for 5 to &lt;7 cups, and 0.58 (95% CI 0.34-0.98) for ≥7 cups per day ( P trend .06). Coffee intake was not associated with hospitalization for congestive heart failure or stroke. Candidate lipid and inflammatory biomarkers did not appear to account for the observed inverse association with mortality. Conclusions Self-reported coffee consumption at the time of hospitalization for myocardial infarction was inversely associated with subsequent postinfarction mortality in this population with broad coffee intake. If confirmed in other settings, identification of relevant mechanisms could lead to an improved prognosis for survivors of acute myocardial infarction.</description><subject>Aged</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cholesterol</subject><subject>Coffee</subject><subject>Coronary heart disease</subject><subject>Drinking</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Heart Failure - epidemiology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>MEDICIN</subject><subject>Medicin och hälsovetenskap</subject><subject>MEDICINE</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocarditis. 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The effect of coffee consumption on prognosis after myocardial infarction is uncertain. Methods In a population-based inception cohort study, we followed 1,369 patients hospitalized with a confirmed first acute myocardial infarction between 1992 and 1994 in Stockholm County, Sweden, as part of the Stockholm Heart Epidemiology Program. Participants reported usual coffee consumption over the preceding year with a standardized questionnaire distributed during hospitalization and underwent a health examination 3 months after discharge. Participants were followed for hospitalizations and mortality with national registers through November 2001. Results A total of 289 patients died during follow-up. Compared with intake of &lt;1 cup per day, coffee consumption was inversely associated with mortality, with multivariable-adjusted hazard ratios of 0.68 (95% confidence interval [CI] 0.45-1.02) for 1 to &lt;3 cups, 0.56 (95% CI 0.37-0.85) for 3 to &lt;5 cups, 0.52 (95% CI 0.34-0.83) for 5 to &lt;7 cups, and 0.58 (95% CI 0.34-0.98) for ≥7 cups per day ( P trend .06). Coffee intake was not associated with hospitalization for congestive heart failure or stroke. Candidate lipid and inflammatory biomarkers did not appear to account for the observed inverse association with mortality. Conclusions Self-reported coffee consumption at the time of hospitalization for myocardial infarction was inversely associated with subsequent postinfarction mortality in this population with broad coffee intake. If confirmed in other settings, identification of relevant mechanisms could lead to an improved prognosis for survivors of acute myocardial infarction.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19249420</pmid><doi>10.1016/j.ahj.2008.11.009</doi><tpages>7</tpages></addata></record>
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subjects Aged
Atrial Fibrillation - epidemiology
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular
Cholesterol
Coffee
Coronary heart disease
Drinking
Female
Health risk assessment
Heart
Heart attacks
Heart Failure - epidemiology
Hospitalization
Humans
Male
Medical sciences
MEDICIN
Medicin och hälsovetenskap
MEDICINE
Middle Aged
Mortality
Myocardial Infarction - mortality
Myocarditis. Cardiomyopathies
Prognosis
Risk Factors
Stroke - epidemiology
Sweden - epidemiology
title Coffee consumption and mortality after acute myocardial infarction: The Stockholm Heart Epidemiology Program
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