Cardiac MRI Reveals Energy Drinks Alter Heart Function

These new findings were presented December 2, 2013, at the annual meeting of the Radiological Society of North America (RSNA), held in Chicago (IL, USA). “Until now, we haven’t known exactly what effect these energy drinks have on the function of the heart,” said radiology resident Jonas Dörner, MD, of the cardiovascular imaging section at the University of Bonn (Germany), which is led by the study’s lead investigator, Daniel K. Thomas, MD. “There are concerns about the products’ potential adverse side effects on heart function, especially in adolescents and young adults, but there is little or no regulation of energy drink sales.”

Energy drinks represent a multibillion-dollar industry that is increasing every day. While teenagers and young adults have traditionally been the largest consumers, recently more people of all demographics have begun consuming energy drinks. A 2013 report from the US Substance Abuse and Mental Health Services Administration stated that in the United States from 2007 to 2011, the number of emergency department visits related to energy drink consumption nearly doubled, increasing from 10,068 to 20,783. Most of the cases were identified among patients aged 18 to 25, followed by those aged 26 to 39.

“Usually energy drinks contain taurine and caffeine as their main pharmacological ingredients,” Dr. Dörner said. “The amount of caffeine is up to three times higher than in other caffeinated beverages like coffee or cola. There are many side effects known to be associated with a high intake of caffeine, including rapid heart rate, palpitations, rise in blood pressure, and in the most severe cases, seizures, or sudden death.”

Dr. Dörner and colleagues employed cardiac magnetic resonance imaging (MRI) in the ongoing study to gauge the effect of energy drink consumption on heart function in 18 healthy volunteers, including 15 men and 3 women with a mean age of 27.5 years. Each of the volunteers underwent cardiac MRI scanning before and one hour after consuming an energy drink containing caffeine (32 mg/100 mL) and taurine (400 mg/100 mL).

Compared to the baseline images, cardiac MRI findings performed one hour after the study participants consumed the energy drink revealed significantly increased peak strain and peak systolic strain rates (contractility measurements) in the left ventricle of the heart. The heart’s left ventricle receives oxygenated blood from the lungs and pumps it to the aorta, which distributes it throughout the rest of the body. “We don’t know exactly how or if this greater contractility of the heart impacts daily activities or athletic performance,” Dr. Dörner said. “We need additional studies to understand this mechanism and to determine how long the effect of the energy drink lasts.”

The researchers discovered no substantial disparities in blood pressure, heart rate, or the amount of blood ejected from the left ventricle of the heart between the participants’ baseline and second MRI scans. “We’ve shown that energy drink consumption has a short-term impact on cardiac contractility,” Dr. Dörner said. “Further studies are needed to evaluate the impact of long-term energy drink consumption and the effect of such drinks on individuals with heart disease.”

Dr. Dörner reported that while long-term risks to the heart from drinking energy drinks are still unknown, he advises that children, as well as individuals with known cardiac arrhythmias, should avoid energy drinks, because changes in contractility could induce arrhythmias. Moreover, he stressed that further research is needed to address risks presented by the consumption of energy drinks combined with alcohol.

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