Associazione Nazionale Medici Cardiologi Ospedalieri

CONGRESS ABSTRACT

CONGRESS ABSTRACT

Coffee consumption relates to a reduction of vascular and heart damage in well-controlled hypertensives

Marozzi Marialuisa Sveva Bari (Bari) – Unit Of Internal Medicine “Guido Baccelli” And Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Di Trani Miriam Bari (Bari) – Unit Of Internal Medicine “Guido Baccelli”, Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Vacca Antonio Udine (Udine) – Ivision Of Internal Medicine, Department Of Medicine, Building 8, University Of Udine, I-33100 Udine (Ud),Italy | Zotti Francesca Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Rignani Francesca Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Gramigna Davide Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Amodio Gianfranco Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Santoro Giuseppe Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | De Benedittis Lorenzo Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Schirosi Gabriella Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Brosolo Gabriele Udine (Udine) – Division Of Internal Medicine, Department Of Medicine, Building 8, University Of Udine, I-33100 Udine (Ud),Italy | Catena Cristiana Udine (Udine) – Division Of Internal Medicine, Department Of Medicine, Building 8, University Of Udine, I-33100 Udine (Ud),Italy | Ranieri Giuseppe Bari (Bari) – Unit Of Internal Medicine “Guido Baccelli”, Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari Aldo Moro, Auoc Policlinico Di Bari | Sechi Leonardo Udine (Udine) – Division Of Internal Medicine, Department Of Medicine, Building 8, University Of Udine, I-33100 Udine (Ud),Italy | Nazzaro Pietro Bari (Bari) – Unit Of Arterial Hypertension “A.M. Pirrelli”, Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy | Cicco Sebastiano Bari (Bari) – Unit Of Internal Medicine “Guido Baccelli” And Unit Of Arterial Hypertension “A.M. Pirrelli”, , Department Of Precision And Regenerative Medicine And Ionian Area – (Dimepre-J), University Of Bari “Aldo Moro”, Auoc Policlinico Di Bari, Italy

Aim: Nutritional interventions might prevent hypertension-related organ damage but are far to be fully defined. Coffee is one of the most used beverages all over the world. Many studies tried to define the optimal amount of coffee to understand whether coffee has a role in cardiovascular prevention. Thus, we evaluated heart and vascular damage in well-controlled hypertensives according to coffee consumption.

Methods: We evaluated 316 primary hypertensives (150F, 166M, aged 62.22±10.76) evaluated for target organ damage. The number of coffee cups per day was asked during the visit.

Results: The median coffee consumption was 2 cups per day and patients were subdivided into tertiles: Group 1, 0-1 cups 112 patients (57F, 55M; 64.21±10.91 y.), Group 2, 2 cups, 101 patients (53F; 48 M; 61.95±10.10 y.), Group 3, >2 cups, 103 patients (40F; 63M; 60.32±10.95 y.). No differences were seen in BMI, systolic and diastolic BP. Group 1 had a higher left ventricular mass than the other two groups (p= 0.0008 and p=0.019 respectively) while no difference there was between group 2 and 3. Similarly, Group 1 had a significant reduction in E/e’ ratio (p=0.042 and p=0.019, respectively). No significance was found between Group 2 and 3 for left ventricular mass and diastolic function. Group 3 had an increased intima-media thickness (p=0.004 and p=0.005 vs Group 1 and 2, respectively). Prevalence of carotid stenosis was lower in Group 3 (p=0.011 and p=0.039, respectively) and was comparable in Group 1 and 2.

Conclusion: Coffee consumption at least of 2 cups/day may have a role in prevention of heart remodelling and diastolic dysfunction.