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Home > Blog > How Coffee Affects Your Heart Health: The Good, The Bad, and The Ugly

How Coffee Affects Your Heart Health: The Good, The Bad, and The Ugly

 
by B3: Beyond Bean Brews
September 13th, 2023

Did you know that Americans drink about 400 million cups of coffee every day? That's more than any other country in the world! Coffee is one of the most popular beverages in the world, with an estimated 2.25 billion cups consumed every day. Coffee contains caffeine, a natural stimulant that affects the central nervous system, the kidneys, and the cardiovascular system.

Caffeine can have many metabolic effects, such as increasing alertness, energy, and mental performance. It can also boost metabolism, fat burning, and exercise performance. However, caffeine can also have some negative effects, such as causing anxiety, jitteriness, insomnia, dehydration, and dependence.

The effects of caffeine on the heart are complex and depend on many factors, such as the amount and frequency of consumption, the individual's sensitivity and tolerance, and the presence of other substances in the coffee (such as antioxidants, polyphenols, and diterpenes).

In this article, we will explore the latest scientific evidence on how coffee affects different aspects of cardiovascular health, such as blood pressure, cholesterol levels, heart rhythm, and heart disease risk. We will also provide some practical tips on how to enjoy your coffee without harming your heart.


Blood Pressure

Blood pressure is the force of blood pushing against the walls of the arteries. High blood pressure (hypertension) is a major risk factor for heart disease and stroke. Caffeine can temporarily raise blood pressure by constricting blood vessels and increasing adrenaline levels.

According to a meta-analysis of 34 studies involving over 300,000 participants, moderate coffee consumption (one to three cups per day) was associated with a slightly lower risk of hypertension than no or low consumption. However, heavy coffee consumption (more than four cups per day) was associated with a slightly higher risk of hypertension. Another meta-analysis of 21 studies involving over 400,000 participants found that habitual coffee consumption was not associated with an increased risk of cardiovascular events (such as heart attack or stroke) or mortality among people with hypertension.

The effects of coffee on blood pressure may depend on several factors, such as the type and amount of coffee (caffeinated or decaffeinated), the brewing method (filtered or unfiltered), the genetic variation in caffeine metabolism (fast or slow), and the habitual or acute consumption (regular or occasional). Some studies suggest that other compounds in coffee besides caffeine may have beneficial effects on blood pressure regulation by improving endothelial function (the lining of blood vessels), reducing inflammation, and modulating oxidative stress.

If you have high blood pressure or are at risk of developing it, you may want to limit your intake of caffeinated coffee to no more than three cups per day. You may also want to avoid drinking coffee before or during physical activity or stressful situations that may increase your blood pressure. If you are sensitive to caffeine or experience symptoms such as palpitations, anxiety, or insomnia after drinking coffee, you may want to switch to decaffeinated coffee or other caffeine-free beverages.


Cholesterol Levels

Cholesterol is a waxy substance that circulates in the blood and is essential for many bodily functions. However, too much cholesterol, especially the bad type (LDL), can build up in the arteries and increase the risk of heart disease and stroke.

Coffee may affect cholesterol levels in different ways, depending on the type and amount of coffee and the brewing method. Caffeinated coffee may slightly increase cholesterol levels by stimulating the production of bile acids in the liver. However, this effect may be offset by the antioxidants and polyphenols in coffee that may lower cholesterol levels by improving lipid metabolism and reducing inflammation.

The brewing method may also play a role in how coffee affects cholesterol levels. Unfiltered coffee, such as boiled, French press, or Turkish coffee, contains higher amounts of diterpenes, a type of fat-like substance that may raise cholesterol levels by interfering with the enzyme that regulates cholesterol synthesis. Filtered coffee, such as drip or percolator coffee, removes most of the diterpenes and has little or no effect on cholesterol levels.

Therefore, if you are concerned about your cholesterol levels or have high cholesterol, you may want to opt for filtered coffee over unfiltered coffee. You may also want to limit your intake of caffeinated coffee to no more than four cups per day. You may also want to choose low-fat or non-dairy creamers and avoid adding too much sugar or sweeteners to your coffee.


Heart Rhythm

Heart rhythm is the pattern of electrical impulses that control the contraction and relaxation of the heart muscle. Normal heart rhythm is called sinus rhythm. Abnormal heart rhythm is called arrhythmia. Arrhythmia can cause symptoms such as palpitations, chest pain, shortness of breath, dizziness, or fainting. Some types of arrhythmia, such as atrial fibrillation, can increase the risk of stroke or heart failure.

Caffeine can affect heart rhythm by stimulating the sympathetic nervous system, which regulates the heart rate and blood pressure. Caffeine can also block the action of adenosine, a chemical that slows down the heart rate and dilates the blood vessels.

However, the effects of caffeine on heart rhythm are not consistent and may vary depending on the individual's susceptibility, the dose and frequency of consumption, and the presence of other factors that may trigger or worsen arrhythmia, such as stress, alcohol, tobacco, or medications.

According to a meta-analysis of 11 studies involving over 360,000 participants, moderate coffee consumption (one to four cups per day) was not associated with an increased risk of atrial fibrillation. In fact, coffee consumption may have a protective effect against atrial fibrillation by reducing inflammation and oxidative stress.

Another meta-analysis of 12 studies involving over 200,000 participants found that moderate coffee consumption (one to three cups per day) was not associated with an increased risk of ventricular arrhythmia. However, high coffee consumption (more than four cups per day) was associated with a slightly increased risk of ventricular arrhythmia.

Therefore, if you have a history of arrhythmia or are at risk of developing it, you may want to limit your intake of caffeinated coffee to no more than three cups per day. You may also want to avoid drinking coffee when you are under stress or have other factors that may trigger or worsen your arrhythmia. If you experience any symptoms of arrhythmia after drinking coffee, you should consult your doctor immediately.


Heart Disease Risk

Heart disease is a broad term that encompasses various conditions that affect the heart and blood vessels, such as coronary artery disease, angina, myocardial infarction, heart failure, and stroke. Heart disease is the leading cause of death worldwide and is influenced by many factors, such as genetics, age, gender, lifestyle, diet, and environment.

Coffee may affect heart disease risk in different ways, depending on the type and amount of coffee and the presence of other substances in the coffee (such as antioxidants, polyphenols, diterpenes, cafestol, and kahweol).

According to a meta-analysis of 36 studies involving over 1.2 million participants, moderate coffee consumption (three to five cups per day) was associated with a lower risk of cardiovascular disease and mortality than no or low consumption. However, high coffee consumption (more than five cups per day) was associated with a higher risk of cardiovascular disease and mortality.

Another meta-analysis of 40 studies involving over 3.8 million participants found that moderate coffee consumption (one to four cups per day) was associated with a lower risk of coronary heart disease and stroke than no or low consumption. However, high coffee consumption (more than four cups per day) was associated with a higher risk of coronary heart disease and stroke.

The effects of coffee on heart disease risk may depend on several factors, such as the type and amount of coffee (caffeinated or decaffeinated), the brewing method (filtered or unfiltered), the genetic variation in caffeine metabolism (fast or slow), and the individual's overall health status and lifestyle habits.

Some studies suggest that other compounds in coffee besides caffeine may have beneficial effects on heart disease risk by improving endothelial function (the lining of blood vessels), reducing inflammation, modulating oxidative stress, lowering blood pressure, improving insulin sensitivity, and preventing platelet aggregation.

However, some compounds in coffee may also have adverse effects on heart disease risk by raising cholesterol levels (such as diterpenes), increasing homocysteine levels (a marker of inflammation), or inducing arrhythmia (such as caffeine).

Therefore, if you want to reduce your risk of heart disease or have a history of heart disease, you may want to drink moderate amounts of filtered caffeinated coffee (one to three cups per day). You may also want to avoid drinking unfiltered caffeinated coffee or decaffeinated coffee that may contain higher amounts of diterpenes or other harmful substances. You may also want to adopt other healthy lifestyle habits such as eating a balanced diet rich in fruits and vegetables, exercising regularly, quitting smoking, limiting alcohol intake, managing stress levels, and getting enough sleep.


Conclusion

In conclusion, coffee is a complex beverage that contains many substances that may affect cardiovascular health in different ways. Moderate coffee consumption (one to three cups per day) may have some beneficial effects on blood pressure, heart rhythm, and heart disease risk. However, heavy coffee consumption (more than four cups per day) may have some adverse effects on blood pressure and cholesterol levels. The type and amount of coffee, the brewing method, and the individual's sensitivity and tolerance to caffeine may also influence the effects of coffee on cardiovascular


Talking Point: 

  • Moderate coffee consumption (1-3 cups per day) was associated with a slightly lower risk of hypertension than no or low consumption. 
  • Coffee may affect cholesterol levels in different ways, depending on the type and amount of coffee and the brewing method. 
  • Caffeine can affect heart rhythm by stimulating the sympathetic nervous system.
  • Heart disease is the leading cause of death worldwide.
  • Moderate coffee consumption (3-5 cups per day) was associated with a lower risk of cardiovascular disease.
  • High coffee consumption (4+cups per day) is associated with a higher risk of coronary heart disease and stroke.
  • Unfiltered caffeinated coffee or decaffeinated coffee  may contain higher amounts of diterpenes, increasing homocysteine (inflammation markers) which may raise cholesterol levels.


I hope you enjoyed this blog post about Coffee and Heart Health. If you did, follow us on Social Media and tag us on Instagram sharing your experience with coffee, caffeine and cardiac care. (#CoffeeCaffeineCardiacCare #BeyondBeanBrews)


PSA: If you or a loved one is experiencing chest, arm or jaw pain, pressure or fatigue, contact your doctor or 911. 


You can review the signs and symptoms of Heart Attack, Stroke or Cardiac Arrest at the American Heart Associations. You might just save a life!

. 

Until Next Time... B3


Tags

  • American Heart Association
  • Cholesterol
  • Coffee
  • Heart Attack
  • Hypertension

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