Characterizing Patients With Cold Drink‐Triggered Atrial Fibrillation.

Introduction: Atrial fibrillation (AF) is a common arrhythmia with significant health implications. Identifying modifiable lifestyle triggers is important in mitigating recurrence and improving patient outcomes. A subset of AF patients has reported cold drinks or foods as triggers, a phenomenon term...

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Publicado en:Journal of Cardiovascular Electrophysiology Vol. 36; no. 8; pp. 1895 - 1903
Autores principales: DiLena, Daniel D., Zhang, Jennifer Y., Rauchwerger, Adina S., Reed, Mary E., Marcus, Gregory M., Warton, E. Margaret, Vinson, David R.
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/jce.16753
        187392155
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        atl: Characterizing Patients With Cold Drink‐Triggered Atrial Fibrillation.
      aug:
        au:
          DiLena, Daniel D.
          Zhang, Jennifer Y.
          Rauchwerger, Adina S.
          Reed, Mary E.
          Marcus, Gregory M.
          Warton, E. Margaret
          Vinson, David R.
        affil: Division of Research, Kaiser Permanente Northern California, Pleasanton California,, USA
      sug:
        subj:
          Atrial Fibrillation Prevention and Control
          Recurrence Prevention and Control
          Beverages Adverse Effects
          Cold Adverse Effects
          Temperature
          Human
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Aged
          California
          Multimethod Studies
          Retrospective Design
          Record Review
          Questionnaires
          Atrial Fibrillation Epidemiology
          Vagal Stimulation Methods
          Life Style
          Self Report
          Cardiac Patients
          Emergency Room Visits
          Outcome Assessment
          Descriptive Statistics
          Comparative Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Introduction: Atrial fibrillation (AF) is a common arrhythmia with significant health implications. Identifying modifiable lifestyle triggers is important in mitigating recurrence and improving patient outcomes. A subset of AF patients has reported cold drinks or foods as triggers, a phenomenon termed "cold drink heart" (CDH). Literature on CDH is scarce and primarily limited to case studies. We sought to characterize patient experiences with CDH and assess the effectiveness of cold trigger avoidance in reducing AF recurrence among affected patients. Methods and Results: This was a mixed methods study employing a patient survey enhanced by chart review among patients who self‐reported CDH. Participants were recruited during emergency department visits for AF or by contacting the principal investigator directly. The survey addressed demographics and clinical features. We compared those with CDH only and those with both CDH and non‐CDH AF episodes. The cohort included 101 respondents (75% male). Median age of CDH onset was 44.5 years. More than half of respondents (51.5%) reported that their AF episodes occurred only following cold drink or food consumption. Rapid onset after ingestion was common, and many reported an association with recent physical exertion. Avoidance of cold ingestion was effective in reducing or eliminating AF episodes in 86.4% of cases, with greater success in CDH‐only patients (100.0%). Physician awareness was low, with 52.4% of respondents reporting dismissive attitudes from one or more healthcare providers. Conclusion: CDH is poorly understood and has significant implications for AF prevention. Avoidance strategies may be highly effective, especially for CDH‐only patients. Further research is needed to validate these findings and increase provider awareness.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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