Coffee has long been a controversial topic when it comes to heart health, especially for those with atrial fibrillation (A-Fib), a common heart rhythm disorder. However, a recent study conducted by UC San Francisco and the University of Adelaide has shed new light on the subject. The study, named DECAF (Does Eliminating Coffee Avoid Fibrillation?), is the first randomized clinical trial to investigate the link between caffeinated coffee consumption and A-Fib.
The research, published in JAMA, revealed surprising results. Contrary to the traditional advice of avoiding caffeine for those with heart issues, the study found that drinking a cup of caffeinated coffee a day could actually reduce the risk of A-Fib by 39%. Dr. Gregory M. Marcus, the senior author of the study and an electrophysiologist at UCSF Health, explained that coffee’s ability to increase physical activity and act as a diuretic may play a role in reducing A-Fib risk. Additionally, the anti-inflammatory properties of coffee could have positive effects on heart health.
A-Fib has been on the rise in recent years, affecting millions of adults in the U.S. alone. The study enrolled 200 coffee-drinking patients with persistent atrial fibrillation or atrial flutter, who were scheduled for electrical cardioversion. They were randomly assigned to either consume at least one cup of caffeinated coffee or abstain from coffee and other caffeinated products for six months. The results were astonishing, with the coffee-consuming group showing a 39% lower risk of recurrent A-Fib episodes.
Lead author Christopher X. Wong emphasized the significance of the findings, stating that the trial suggests coffee is not only safe for those with A-Fib but may actually be protective. The study challenges the conventional advice of minimizing coffee intake for patients with problematic A-Fib, providing a new perspective on the role of caffeine in heart health.
For those interested in delving deeper into the study, the full research article can be found in JAMA. The implications of this research could potentially change the way coffee is viewed in relation to heart health, offering new insights into the benefits of moderate coffee consumption for individuals with A-Fib.

