{"id":457,"date":"2021-09-27T08:34:09","date_gmt":"2021-09-27T06:34:09","guid":{"rendered":"https:\/\/hjerteforeningen.dk\/fagnet\/?p=6355"},"modified":"2025-12-19T11:25:07","modified_gmt":"2025-12-19T11:25:07","slug":"en-daglig-genstand-alkohol-oeger-risikoen-for-atrieflimren","status":"publish","type":"artikel","link":"https:\/\/hjerteforeningen.dk\/fagnet\/artikler\/alle-artikler\/en-daglig-genstand-alkohol-oeger-risikoen-for-atrieflimren\/","title":{"rendered":"En daglig genstand alkohol \u00f8ger risikoen for atrieflimren"},"content":{"rendered":"\t\t
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Et stort\u00a0europ\u00e6isk\u00a0epidemiologisk studie viser, at selv sm\u00e5 m\u00e6ngder alkohol \u00f8ger risikoen for\u00a0atrieflimren.\u00a0Vigtigt at\u00a0r\u00e5dgive om alkoholindtag til patienter, der i forvejen er i risiko for\u00a0atrieflimren, siger Hjerteforeningens\u00a0forskningschef.<\/span>\u00a0<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Det er ikke ny\u00a0viden, at\u00a0indtag af\u00a0alkohol kan udl\u00f8se atrieflimren.\u00a0Det nye er, at\u00a0selv\u00a0sm\u00e5 m\u00e6ngder\u00a0af\u00a0alkohol\u00a0<\/span>–<\/span>\u00a0f.eks.\u00a0en enkelt genstand\u00a0per\u00a0dag\u00a0<\/span>–<\/span>\u00a0giver en\u00a0\u00f8get\u00a0risiko,\u00a0og at\u00a0den\u00a0risiko stiger i takt med alkoholindtaget.\u00a0<\/span>\u00a0<\/span><\/p>

\u201dVed tre genstande alkohol om dagen er risikoen for\u00a0at f\u00e5 et anfald af\u00a0atrieflimren halvanden gang s\u00e5 stor, sammenlignet med hvis du ikke drikker\u00a0alkohol. Men selv en enkelt genstand p\u00e5 12 gram alkohol\u00a0om dagen\u00a0giver en \u00f8get risiko p\u00e5 16 procent,\u201d\u00a0siger\u00a0Gunnar Gislason, der er\u00a0overl\u00e6ge\u00a0og\u00a0professor i kardiologi\u00a0og\u00a0forskningschef i Hjerteforeningen.\u00a0<\/span>\u00a0<\/span><\/p>

Han refererer til resultaterne af\u00a0<\/span>et stort epidemiologisk studie<\/span><\/a>\u00a0med en\u00a0samlet\u00a0kohorte p\u00e5\u00a0107.845\u00a0individer\u00a0sammenlagt af\u00a05 forskellige\u00a0europ\u00e6iske studier\u00a0fra\u00a0Danmark, Finland, Italien, Norge og Sverige.\u00a0Det danske studie er det s\u00e5kaldte DEN-MONICA\u00a0studie, der tidligere\u00a0blev kaldt\u00a0\u2019Glostrupunders\u00f8gelsen\u2019.<\/span>\u00a0<\/span><\/p>

\u201dResultaterne er overraskende i forhold til hvor lidt, der skal til, for at \u00f8ge risikoen for atrieflimren. Det er velkendt, at alkohol kan udl\u00f8se anfald af atrieflimren, men det er noget nyt, at selv sm\u00e5 m\u00e6ngder kan \u00f8ge risikoen,\u201d siger han.\u00a0<\/span>\u00a0<\/span><\/p>

Studiet\u00a0viste\u00a0en klokkeklar\u00a0dosiseffekt\u00a0med en \u00f8get risiko for atrieflimren p\u00e5 henholdsvis 16 procent (1 genstand),\u00a036 procent (2 genstande), 52 procent (3 genstande), 59 procent (4 genstande) og 61 procent (\u2265 5 genstande).\u00a0<\/span>\u00a0<\/span><\/p>

\u201dRisikoen for atrieflimren stiger med antallet af\u00a0daglige\u00a0genstande og flader ud ved fire genstande eller derover,\u201d siger Gunnar Gislason.\u00a0<\/span>\u00a0<\/span><\/p>

Et andet\u00a0markant\u00a0resultat af unders\u00f8gelsen\u00a0var, at\u00a0drikkem\u00f8nsteret \u2013 dvs. hvor mange dage om ugen,\u00a0du\u00a0drikker,\u00a0ikke\u00a0ser ud til at\u00a0betyde noget\u00a0for risikoen for\u00a0at f\u00e5\u00a0atrieflimren\u00a0og at typen af alkohol \u2013 om det er\u00a0\u00f8l, vin eller spiritus \u2013 ikke har nogen betydning.\u00a0\u00a0<\/span>\u00a0<\/span><\/p>

\u201dDet vigtige er hvor mange genstande, du drikker, og ikke hvordan du drikker dem. Det giver f.eks. samme risiko, om du drikker syv genstande l\u00f8rdag aften eller du drikker en genstand hver dag alle ugens dage,\u201d\u00a0forklarer\u00a0Gunnar Gislason.<\/span><\/p>

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P\u00e5 listen over risikofaktorer<\/span><\/h3>

Gunnar Gislason\u00a0understreger, at det\u00a0s\u00e6rligt er\u00a0de\u00a0personer, der i forvejen er i risiko for at f\u00e5 atrieflimren, der skal v\u00e6re tilbageholdende med alkoholindtaget.\u00a0<\/span>\u00a0<\/span><\/p>

\u201dStudiet viser, at\u00a0alkohol er\u00a0en\u00a0st\u00e6rk risikofaktor\u00a0for atrieflimren\u00a0ligesom\u00a0h\u00f8j\u00a0alder, sukkersyge og andre hjertesygdomme.\u00a0Hvis\u00a0en person\u00a0har risikofaktorer\u00a0for atrieflimren\u00a0i forvejen, kan der\u00a0derfor\u00a0v\u00e6re\u00a0god\u00a0grund til at overveje\u00a0at neds\u00e6tte sit\u00a0indtag af alkohol,\u201d\u00a0siger\u00a0han.\u00a0<\/span>\u00a0<\/span><\/p>

Som behandler\u00a0kan det\u00a0derfor\u00a0v\u00e6re en god id\u00e9 at\u00a0have et st\u00f8rre\u00a0fokus\u00a0p\u00e5 alkohol.<\/span>\u00a0<\/span><\/p>

\u201dN\u00e5r vi screener for atrieflimren, skal vi tage alkohol med p\u00e5 listen over faktorer, der \u00f8ger risikoen for atrieflimren.\u00a0Set ud fra et forebyggelsesperspektiv, vil det v\u00e6re relevant at tage alkohol med ind i r\u00e5dgivningen af patienter, der i forvejen har\u00a0risikofaktorer\u00a0for\u00a0atrieflimren. I dag er der slet ikke fokus p\u00e5 alkohol i den henseende,\u201d\u00a0siger Gunnar Gislason.\u00a0<\/span>\u00a0<\/span><\/p>

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Blodpropper i hjernen<\/span><\/h3>

Resultaterne viser ogs\u00e5, at\u00a0sammenh\u00e6ngen mellem alkohol og\u00a0atrieflimren kan v\u00e6re en\u00a0del af\u00a0forklaringen\u00a0p\u00e5 hvorfor sm\u00e5 m\u00e6ngder af alkohol ikke beskytter mod blodpropper i hjernen ligesom det er tilf\u00e6ldet for blodpropper i hjertet.\u00a0<\/span>\u00a0<\/span><\/p>

\u201dDen gavnlige effekt, vi ser af sm\u00e5 m\u00e6ngder alkohol p\u00e5 forekomsten af blodpropper\u00a0i hjertet, ser vi ikke for atrieflimren.\u00a0Det er interessant ud fra det perspektiv, at atrieflimren er en risikofaktor for blodpropper i hjernen\u00a0og derfor kan v\u00e6re en del af forklaringen p\u00e5 hvorfor\u00a0sm\u00e5 m\u00e6ngder alkohol ikke beskytter mod blodpropper i hjernen,\u201d\u00a0forklarer Gunnar Gislason.<\/span>\u00a0<\/span><\/p>

Sammenh\u00e6ngen mellem alkohol og\u00a0atrieflimren\u00a0kunne\u00a0i studiet\u00a0hverken forklares af\u00a0underliggende hjertesygdom\u00a0(biomark\u00f8rerne\u00a0<\/span>N-terminal pro-B-type\u00a0natriuretic\u00a0peptide<\/span><\/i>\u00a0og\u00a0<\/span>high-sensitivity\u00a0troponin-I<\/span><\/i>)\u00a0eller\u00a0af\u00a0forekomsten af hjertesvigt.<\/span>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>

L\u00e6s\u00a0mere om\u00a0studiet<\/b>:<\/span>\u00a0<\/span><\/b>Alcohol consumption, cardiac biomarkers, and risk of atrial fibrillation and adverse outcomes<\/span><\/a>\u00a0<\/span><\/p>

\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Et stort europ\u00e6isk epidemiologisk studie viser, at selv sm\u00e5 m\u00e6ngder alkohol \u00f8ger risikoen for atrieflimren. Vigtigt at r\u00e5dgive om alkoholindtag til patienter, der i forvejen er i risiko for atrieflimren, siger Hjerteforeningens forskningschef. <\/p>\n","protected":false},"author":21,"featured_media":631,"template":"","meta":{"_acf_changed":false},"global-tag":[87,16,28,29],"class_list":["post-457","artikel","type-artikel","status-publish","has-post-thumbnail","hentry","global-tag-alkohol","global-tag-atrieflimren","global-tag-forskning","global-tag-studie"],"yoast_head":"\nEn daglig genstand alkohol \u00f8ger risikoen for atrieflimren - For fagfolk<\/title>\n<meta name=\"description\" content=\"Et stort europ\u00e6isk epidemiologisk studie viser, at selv sm\u00e5 m\u00e6ngder alkohol \u00f8ger risikoen for atrieflimren.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hjerteforeningen.dk\/fagnet\/artikler\/alle-artikler\/en-daglig-genstand-alkohol-oeger-risikoen-for-atrieflimren\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"En daglig genstand alkohol \u00f8ger risikoen for atrieflimren - 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