Saturday, September 2, 2017

Coffee consumption after myocardial infarction and risk of cardiovascular mortality: A prospective analysis in the Alpha Omega Cohort

You'll have to ask your doctor if this applies after stroke also.  I'm doing massive amounts of coffee as explained in these 144 posts on coffee. 
You can ask your doctor what inversely means, I don't have time to teach your doctor that.  
https://www.mdlinx.com/internal-medicine/medical-news-article/2017/08/25/coffee-myocardial-infarction-patients-cardiovascular-disease/7383175/?news_id=387&newsdt=090217&subspec_id=4&utm_source=WeeklyNL&utm_medium=newsletter&utm_content=Weeks-Best-Article&utm_campaign=article-section&category=latest-weekly

Cohort

American Journal of Clinical Nutrition
van Dongen LH, et al. – This prospective investigation assessed the link between coffee consumption (caffeinated and decaffeinated) and cardiovascular disease (CVD) mortality, ischemic heart disease (IHD) mortality, and all–cause mortality, respectively, in patients with a previous experience of myocardial infarction (MI). Researchers concluded drinking coffee, either caffeinated or decaffeinated, may lower the risk of CVD and IHD mortality in patients with a prior MI.

Methods

  • This study included 4365 Dutch patients from the Alpha Omega Cohort who were aged 60–80 y (21% female) and had experienced an MI <10 y before study enrollment.
  • Using a 203-item validated food-frequency questionnaire, dietary data including coffee consumption over the past month was collected, at baseline (2002–2006).
  • Until 1 January 2013, researchers monitored causes of death.
  • They obtained HRs for mortality in categories of coffee consumption from multivariable Cox proportional hazard models, adjusting for lifestyle and dietary factors.

Results

  • Findings revealed that most patients (96%) drank coffee, and the median total coffee intake was 375 mL/d (~3 cups/d).
  • Data reported that during a median follow-up of 7.1 y, a total of 945 deaths occurred, including 396 CVD-related and 266 IHD-related deaths.
  • Researchers observed that coffee consumption was inversely associated with CVD mortality, with HRs of 0.69 (95% CI: 0.54, 0.89) for >2–4 cups/d and 0.72 (0.55, 0.95) for >4 cups/d, compared with 0–2 cups/d.
  • In addition, results highlighted that corresponding HRs were 0.77 (95% CI: 0.57, 1.05) and 0.68 (95% CI: 0.48, 0.95) for IHD mortality and 0.84 (95% CI: 0.71, 1.00) and 0.82 (95% CI: 0.68, 0.98) for all-cause mortality, respectively.
  • They also found similar associations for decaffeinated coffee and for coffee with additives.

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