The Hidden Heart Risk
How Even One Drink Can Trigger Atrial Fibrillation
2/11/2025
Dr. John Johnkoski, Aspirus Cardiothoracic Surgeon
Atrial fibrillation
(AFib) is the most common heart rhythm disorder, affecting millions of people.
While many factors can contribute to AFib episodes, research shows that alcohol
is a significant trigger—even in small amounts. Studies indicate
that consuming just one drink can increase the likelihood of an AFib episode,
sometimes doubling the risk within hours.
As part of American
Heart Month, Aspirus Health is raising awareness about how alcohol affects
heart rhythm and why people with AFib should consider eliminating it.
“AFib occurs when
the upper chambers of the heart, the atria, quiver instead of contracting
properly, which can lead to heart failure, stroke, and even early death,” said John
Johnkoski, MD, Cardiothoracic Surgeon at Aspirus Heart Care. “Alcohol
creates a chemical environment in the heart that makes AFib more likely, and
studies show there really is no safe level of alcohol for people with this
condition.”
For those already
diagnosed with AFib, alcohol can prolong episodes, interfere with medications,
and increase the risk of stroke and heart failure. Over time, continued alcohol
consumption can weaken the heart and contribute to more persistent forms of AFib.
“We used to think
alcohol only caused heart problems with excessive drinking, but now we know
that even small amounts can negatively impact AFib,” Dr. Johnkoski explained.
“Avoiding alcohol gives you the best chance of staying in rhythm, whether
you’re managing it with medications, catheter-based therapies, or surgery.”
While everyone’s
AFib triggers may vary, Dr. Johnkoski stresses that quitting alcohol is the
safest option.
“If someone is
willing to stop drinking, that’s fantastic—that’s a win,” he said. “If they’re
hesitant, we might frame the conversation around testing whether alcohol is a
trigger for them. But the reality is, studies show there’s no truly safe level
of alcohol for people with AFib.”
The best way to
maintain a stable heart rhythm is to avoid alcohol entirely. If you experience
symptoms like a racing heart, palpitations, or dizziness after drinking, stop
immediately. If symptoms persist or worsen, contact your doctor.
Aspirus Health
encourages individuals with AFib or concerns about heart health to speak with
their healthcare provider about strategies to manage their condition and reduce
risk factors.
The Atrial
Fibrillation Clinic at Aspirus Heart Care offers comprehensive care for
patients with atrial arrhythmias. For referrals, scheduling, or general
questions, please call 866.783.6266.
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