Background-Individuals who consume high amounts of alcohol (>5 drinks/d) ha
ve increased risks of ventricular arrhythmia and sudden cardiac death (SCD)
. However, the relationship is less clear for drinkers of light-to-moderate
amounts.
Methods and Results-We prospectively assessed whether light-to-moderate alc
ohol drinkers have a decreased risk of SCD among 21 537 male participants i
n the Physicians Health Study who were free of self-reported cardiovascular
disease and provided complete information on alcohol intake at study entry
. Over 12 years of follow-up, 141 SCDs were confirmed. After control for mu
ltiple confounders, men who consumed 2 to 4 drinks/wk (RR=0.40; 95% CI, 0.2
2 to 0.75; P=0.004) or 5 to 6 drinks/wk (RR=0.21; 95% CI, 0.08 to 0.56; P=0
.002) at baseline had significantly reduced risks of SCD compared with thes
e who rarely or never consumed alcohol. The relationship for SCD was U-shap
ed (P=0.002), with the risk approaching unity at greater than or equal to 2
drinks/d, In contrast, the relationship of alcohol intake and nonsudden CH
D death was L-shaped or linear (P for trend=0.02),
Conclusions-In these prospective data, men who consumed light-to-moderate a
mounts of alcohol (2 to 6 drinks/wk) had a significantly reduced risk of SC
D compared with those who rarely or never consumed alcohol.