Coffee consumption and risk of acute myocardial infarction in Italian males
Abstract
The relationship between coffee consumption and acute myocardial infarction (AMI) was analyzed using data from a case-control study conducted in 1988 to 1989 within the framework of the GISSI-2 trial on streptokinase versus alteplase and heparin versus no heparin in the treatment of AMI. A total of 801 male patients with AMI and 792 control subjects who were hospitalized in several Italian regions for diseases unrelated to known or potential risk factors for cardiovascular diseases were included. Compared with coffee nondrinkers, the multivariate relative risks (RRs), after allowance for age, education, body mass index, smoking habits, alcohol consumption, family history of AMI, cholesterol level, history of diabetes, and hypertension, were 0.8 (95% confidence interval (CI), 0.5 to 1.2) for consumption of one cup/d, 1.3 (95% CI, 0.9 to 2.0) for two cups/d, 1.8 (95% CI, 1.1 to 2.7) for three cups, 2.5 (95% CI, 1.5 to 4.1) for four cups, and 2.6 (95% CI, 1.6 to 4.2) for five cups or more. The trend in risk with dose was statistically significant (P < 0.001). Duration of coffee consumption was not associated with the risk of AMI. The RRs for daily coffee consumption were elevated across strata of various covariates, including age, smoking habits, cholesterol level, diabetes, and hypertension, with a particularly elevated (although not significantly heterogeneous) estimate in patients younger than 50 years (RR, 5.7; 95% CI, 3.0 to 10.9 for four or more cups/d). The RR in patients who drank four or more cups of coffee per day and were current smokers was 8.1 (95% CI, 5.1 to 13.0), suggesting an unfavorable effect on the combination of cigarette smoking and high coffee intake on the risk of AMI.
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Smoking and caffeine have an unfavorable interaction on blood pressure and cardiovascular risk.
“Studies have shown that smoking and caffeine have an unfavorable interaction on blood pressure and cardiovascular risk (20 -23).”
From Smoking and caffeine have a synergistic detrimental effect on aortic stiffness and wave reflections (2004) · cites this paper as [23]
Habitual cigarette and coffee consumption increase the risk of acute myocardial infarction.
“Furthermore, case-control studies have shown that habitual cigarette and coffee consumption increase systolic blood pressure (21) and the risk of acute myocardial infarction (23).”
From Smoking and caffeine have a synergistic detrimental effect on aortic stiffness and wave reflections (2004) · cites this paper as [23]
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- Authors
- D'Avanzo, B., La Vecchia, C., Tognoni, G., Franceschi, S., Grazia Franzosi, M., Nobili, A., Santoro, L., & Scarsi, G.
- Affiliations
- Mario Negri Institute for Pharmacological Research (IT)
- Ente Ospedaliero Ospedali Galliera (IT)
- Venue
- Annals of Epidemiology
- Publisher
- Elsevier BV
- Published
- 1993-11
- Volume
- 3
- Issue
- 6
- Pages
- 595-600
- ISSN
- 1047-2797 (ISSN-L)
- OpenAlex
- W2034763134
- Cited by
- 16
- References
- 38
- Citations by year
- 2018: 1 · 2017: 1 · 2016: 2 · 2014: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- coffee consumption, acute myocardial infarction, cardiovascular risk factors, dose-response relationship, smoking, young men, risk stratification
- MeSH terms
- Adult, Aged, Coffee, Humans, Italy, Male, Middle Aged, Myocardial Infarction, Risk Factors, Case-Control Studies, Randomized Controlled Trials as Topic
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