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Updated: May 27, 2026

Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
Coffee, caffeine, and risk of hospitalization for arrhythmias
Insights
Coffee consumption appears to lower the risk of cardiac arrhythmia hospitalization. This large study found that drinking more coffee was associated with a reduced risk of arrhythmias, suggesting moderate caffeine intake is unlikely to increase risk.
Area of Science:
- Cardiology
- Epidemiology
- Nutritional Science
Background:
- Limited data exists on the relationship between coffee consumption and cardiac arrhythmias.
- Investigating this association is crucial for public health recommendations.
Purpose of the Study:
- To examine the association between coffee drinking and the risk of cardiac arrhythmia.
- To assess the relationship between total caffeine intake and arrhythmia risk.
Main Methods:
- A large population-based study involving 130,054 participants with prior coffee habit data.
- Cox proportional hazards models were used to analyze coffee and caffeine intake in relation to arrhythmia hospitalization.
- Adjustments were made for 8 covariates, and analyses were conducted on subgroups with detailed caffeine intake data.
Main Results:
- Higher coffee consumption was associated with a reduced risk of arrhythmia hospitalization (≥4 cups/day: HR 0.8, p=0.002).
- A continuous analysis showed an inverse relationship between coffee intake and arrhythmia risk (HR per cup/day 0.97, p=0.001).
- Total caffeine intake also demonstrated an inverse relationship with arrhythmia risk (highest vs. lowest quartile: HR 0.6, p=0.03).
Conclusions:
- The findings suggest an inverse relationship between coffee and caffeine intake and the risk of hospitalization for arrhythmias.
- Moderate caffeine intake is unlikely to increase the risk of cardiac arrhythmias.
Context:
Population study data about relations of coffee drinking to arrhythmia are sparse.
Objective:
To study relations of coffee drinking to risk of cardiac arrhythmia in 130,054 persons with previous data about coffee habits.Design and Outcome Measure: We used Cox proportional hazards models with 8 covariates to study coffee-related risk in 3137 persons hospitalized for cardiac arrhythmia. We conducted a similar analysis of total caffeine-related risk in a subgroup with data about other caffeine intake (11,679 study participants; 198 hospitalized).
Results:
With non-coffee-drinkers as the referent, the adjusted hazard ratio (HR) for any arrhythmia at the level of <1 cup of coffee per day was 1.0 (95% confidence interval [CI] = 0.9-1.1; p = 0.7); for 1-3 cups/day, it was 0.9 (CI, 0.8-1.0; p = 0.2), and for ≥4 cups/day, it was 0.8 (CI, 0.7-0.9; p = 0.002). With coffee intake as a continuous variable, the HR per cup per day was 0.97 (CI, 0.95-0.99; p = 0.001). RESULTS were similar for several strata, including persons with history or symptoms of possible cardiore-spiratory disease and those without such history or symptoms. Coffee had similar relations to atrial fibrillation (48% of participants with arrhythmia) and most other specific arrhythmia diagnoses. Controlled for number of cups of coffee per day, total caffeine intake was inversely related to risk (HR highest quartile vs lowest = 0.6; p = 0.03).
Conclusion:
The inverse relations of coffee and caffeine intake to hospitalization for arrhythmias make it unlikely that moderate caffeine intake increases arrhythmia risk.
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