RinaldiPT - Should Heart Patients Avoid Caffeine?

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Coffee lovers with heart disease have no increase in death rate...according to recent study.

A recent study reported in the American Journal of Clinical Nutrition indicates that women who enjoy a few cups of coffee a day generally live as long as those who do not drink coffee.

The prevailing hypothesis has been that coffee raises blood pressure and may increase the load on the cardiovascular system. So this report appears to shed some conflicting evidence on the prevailing thinking, which may be more mythical that otherwise thought. Other studies show similar effects, while a few others tout coffee's protective effects.

In the new study, which followed nearly 12,000 U.S. nurses with a history of heart disease or stroke, those who regularly drank caffeinated coffee were no more likely to die than non-coffee-drinkers during the study period - which for some was more than 20 years.

Researchers found no link between a woman's coffee intake and her risk of death from heart attack, stroke or any other cause. And that was true even of women who downed four or more cups per day.

Though the study group is large, and over a long period, the results may not be generalizable due to the narrow population. Nor can the study discount coffee as a possible cause of cardiovascular problems, at least in some people.

The study does show that there would be neither a benefit or any harm to having coffee after recovering from a heart attack.

However, recent studies have suggested the importance of genetics in determining who might be at risk as metabolizing coffee seems to have a influence in reaction to coffee.

Even with factors like age, weight, high blood pressure and diabetes accounted for, there was still no association between coffee consumption and risk of death.

So, it would appear that people with heart disease who already drink coffee do not have to give it up.

But it is still advised to check with your doctor, particularly if you have uncontrolled high blood pressure or other conditions that could be aggravated by caffeine -- like sleep problems or anxiety.

SOURCE: http://bit.ly/kUXi5R American Journal of Clinical Nutrition, online May 11, 2011.

Reuters Health

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