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© 2001 by Cardiovascular
Reviews & Reports, Inc.
The
Effects of Alcohol Consumption on
Recurrent Ischemic Events after
Percutaneous Transluminal Coronary Interventions
Tedd
Goldfinger, DO, Gregory Koshkarian, MD,
Ann Tunstall, PhD, Christopher McArdle, MS
(Desert Cardiology of Tucson Heart Center; and
Cardiac Rehabilitation Unit, Northwest Medical
Center, Tucson, AZ)
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ABSTRACT
- The possible protective effect of alcohol consumption
on recurrent myocardial ischemic events after
percutaneous transluminal coronary intervention
(PCI) was examined in this study. Patients who
underwent PCI in our interventional cardiac catheterization
laboratory were identified for possible inclusion
in this study. They were queried in detail by
telephone and clinic interviews. Medical records
were reviewed as needed. Information regarding
alcohol consumption after PCI and subsequent follow-up
events, such as evidence of recurrent myocardial
ischemia after PCI, was collected. Patients were
classified by alcohol consumption as nondrinkers,
low-intake drinkers, and moderate-/high-intake
drinkers. Patients were also identified as having
suffered a recurrent myocardial ischemic event
in the follow-up period or as being event-free.
Of the 247 patients for whom data collection was
complete, 155 were non-drinkers, 82 were low-intake
drinkers, and eight were moderate-/high-intake
drinkers. A total of 25 patients experienced follow-up
events-22 nondrinkers and three low-intake drinkers.
No moderate-/high-intake drinker experienced a
follow-up event. A chi-square test for the independence
of alcohol consumption and follow-up events indicates
a statistically significant dependence between
the two variables (p<0.05). These data indicate
a negative association between alcohol consumption
and the likelihood that a patient will suffer
recurrent myocardial ischemia after PCI. A prospective
study is warranted to test these initial observations
(CVR&R.2001;22:83-85,101). |
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