Caffeine and ventricular arrhythmias. An electrophysiological approach
Chelsky, L.B.; Cutler, J.E.; Griffith, K.; Kron, J.; McClelland, J.H.; McAnulty, J.H.
JAMA 264(17): 2236-2240
1990
ISSN/ISBN: 0098-7484 PMID: 2214101 Document Number: 363788
Little information is known regarding caffeine's effect on the substrate supporting sustained ventricular arrhythmias. This prospective study evaluated the effect of coffee (275 mg of caffeine) on this substrate with programmed ventricular stimulation in 22 patients with a history of symptomatic nonsustained ventricular tachycardia, ventricular tachycardia, or ventricular fibrillation. Patients underwent electrophysiological testing before and 1 hour after coffeed ingestion. Mean (.+-. SEM) plasma caffeine level achieved after coffee consumption was 6.2 .+-. 0.5 mg/L. Mean plasma catecholamine and potassium values were not altered significantly 1 hour following caffeine ingestion. The number of extrastimuli required to induce an arrhythmia was unchanged in 10 patients (46%), increased in six (27%), and decreased in six (27%). Rhythm severity was unchanged in 17 patients (77%), more severe in two (9%), and less severe in three (14%). In those patients with clinical ventricualr arrhythmias, caffeine did not significantly alter inducibility or severity of arrhythmias, suggesting little effect on the substrate supporting ventricular arrhythmias.