Research Update: Coffee and Heart Rhythms

In one of the first jobs I ever had, the foreman would pour a half-cup of coffee and fill it up with water; he’d had a heart attack and his doctor told him to limit his coffee intake. Fifty years ago, physicians recommended that people avoid coffee if they had high blood pressure or had a cardiac event such as a heart attack. The thought was to lower the stimulating effect of caffeine to keep heart rate and blood pressure lower. In the interim, some studies showed that coffee contributes to cardiovascular disease and more recently, that it may not. So if you love coffee the way I love coffee, you may be encouraged by a couple of recent studies.

The first study examined the effect of coffee on heart rhythms in 100 subjects with a mean age of 39 who served as their own controls. All subjects had a variety of blood tests as well as genetic tests to determine if they were fast or slow processors of caffeine. They also wore a new-age heart rhythm monitor for the 14 days of the study. I’ve worn that monitor, and it gives accurate EKGs to monitor heart rate and heart rhythm abnormalities such as premature atrial contractions and atrial fibrillation.

The subjects were notified the evening before whether they were going to be on a two-day coffee drinking cycle or two-day caffeine avoidance; the idea was to track immediate impacts. The good news: there were no differences in abnormal rhythms on coffee days versus non-caffeine days and no impact of caffeine processing. One interesting observation: on the days subjects drank coffee, they walked more steps. We’ll look at the impact of coffee on cardiovascular disease events on Saturday.

What are you prepared to do today?