The Impact of Alcohol Consumption on Cardiovascular Health: Myths and Measures PMC

Does Alcohol Affect The Cardiovascular

Oftentimes, we aren’t thinking about how much or how often we consume alcohol or its effects on the body. As a general rule, the American Heart Association recommends a maximum of one drink per day for women and two for men for people who do not have Afib. “Excessive alcohol consumption can cause nerve damage and irreversible forms of dementia,” Dr. Sengupta warns. If you drink every day, or almost every day, you might notice that you catch colds, flu or other illnesses more frequently than people who don’t drink. That’s because alcohol can weaken your immune system, slow healing and make your body more susceptible to infection.

Alcohol and heart health: What’s the real story?

Investigators have used a variety of noninvasive tests to evaluate the acute effects of alcohol consumption on myocardial function and hemodynamics in healthy humans. As with isolated animal heart experiments, some investigators have found that acute alcohol exposure (blood alcohol levels 40 to 110 mg%) depresses myocardial systolic function in humans (Delgado et al. 1975; 9 best online sobriety support groups Lang et al. 1985; Timmis et al. 1975). For example, in one study, the ejection fraction decreased by 4 percent after alcohol consumption (Delgado et al. 1975). Most likely, the decrease in contractility was offset by corresponding decreases in afterload (end-systolic wall stress), systemic vascular resistance, and aortic peak pressure, which maintained cardiac output.

Alcohol Consumption and Total Stroke Incidence and Prevalence

An important aspect of the alcohol-hypertension association—and a fertile area for future studies—concerns alcohol’s interactions with antihypertensive medications such as propranolol and clonidine. Alcohol enhances the elimination of propranolol and opposes the effect of clonidine, resulting in a decrease in the blood pressure-lowering properties of these medications. Alcohol-induced damage to the cardiovascular system may result from either excessive prenatal alcohol exposure or from excessive alcohol use later in life. This article, however, focuses on four specific cardiovascular consequences (i.e., cardiomyopathy, cardiac arrhythmia, hypertension, and stroke) that result from heavy drinking later in life.

Testosterone-blocking drugs boost heart disease risk when given in combination

Some research noted that endothelial function is impaired in abstinent individuals with a long-term history of alcohol abuse or alcoholism (Di Gennaro et al. 2007, 2012; Maiorano et al. 1999). Other studies have examined the effect of a single binge-drinking episode and found impairment in mdma withdrawal timeline symptoms + detox treatment options brachial artery endothelial-dependent and -independent vasodilation (Bau et al. 2005; Hashimoto et al. 2001; Hijmering et al. 2007). Therefore, as in animal studies, the effects of ethanol on endothelial function in humans likely depend on the dose and duration of ethanol consumption.

Acute and Long-term Effects of Alcohol on the Myocardium

Some studies have found that even light or moderate drinking can lead to some deterioration of the hippocampus. Any amount of alcohol can diminish your judgment and functioning, and even low or moderate alcohol use can have harmful effects on different organs. In one recent study, researchers at the Karolinska Institute in Sweden followed more than 79,000 men and women between the ages of 45 and 83. After 12 years, the researchers looked closely at the effects different types of alcohol had on these people. But there’s plenty of research to back up the notion that alcohol does lead to weight gain in general. Alcohol is a psychoactive and harmful substance that has become a common accompaniment of social events in many parts of the world.

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High blood pressure is known as a “silent killer” and can increase a person’s risk of heart attack, stroke, chronic kidney disease and other serious conditions. Some people might have heard that alcoholic drinks such as red wine may be good for the heart and that alcohol may increase beneficial high-density lipoprotein cholesterol. In this case, researchers concluded that for some people, binge drinking increased the immediate risk of a heart attack. Alcohol can impact various parts of the body, including the brain, heart, liver, and pancreas, as well as essential body systems like the immune and digestive systems. Alcohol use can increase the risk of cardiovascular problems, cognitive decline, liver disease, mental health conditions, and more.

Although cardiomyopathy is more common in men than women, a recent study showed that women are actually more susceptible to alcohol-induced cardiomyopathy than men (Urbano-Marquez et al. 1995). In that study, the prevalence of cardiomyopathy in men and women was comparable, even though the total lifetime alcohol consumption by women was only 60 percent that of men. A condition known as dilated cardiomyopathy constitutes a major subset of the disorders grouped under the umbrella term “cardiomyopathy,” which encompasses any chronic disorder affecting the heart https://sober-house.org/alcohol-withdrawal-timeline-how-long-does-each/ muscle. Dilated cardiomyopathy is characterized by low cardiac output and enlargement of the heart (i.e., hypertrophy) and its chambers (i.e., dilatation) (see figure) and eventually leads to congestive heart failure (CHF). A variety of factors can cause dilated cardiomyopathy, including prolonged heavy drinking (i.e., alcoholic cardiomyopathy) as well as the late effects of viral infections and toxic substances. Although alcoholic cardiomyopathy may be reversible after abstention, severe cases still may progress into CHF despite a cessation of alcohol use.

Does Alcohol Affect The Cardiovascular

However, you might not need to stop drinking entirely if you have heart disease. Talk with your healthcare provider about what amount and type of alcohol—if any—is safe for you. Some research has linked light to moderate red wine consumption to better cardiovascular health. Because the risks of drinking outweigh the benefits, it’s not advised to start drinking for potential health reasons. There’s a lot more research showing that over time, alcohol can impact heart health, including by raising the risk of heart attack.

  1. Alcohol-induced arrhythmias also may be caused by a reduction in the threshold for ventricular fibrillation.
  2. Both experimental approaches also prevented accumulation of ethanol-induced scarring (collagen and fibronectin); apoptotic cell death; and changes in the size, shape, and function of the heart after injury to heart muscle (ventricular remodeling).
  3. A variety of factors can cause dilated cardiomyopathy, including prolonged heavy drinking (i.e., alcoholic cardiomyopathy) as well as the late effects of viral infections and toxic substances.

However, new research has challenged this interpretation by not confirming the J point relationship in Chinese [24] and Indian populations [25], where alcohol consumption is relatively lower, binge drinking is common and among people less than 55 years of age. Furthermore, there has been heterogeneity in the type and pattern of alcohol consumption in most parts of the world. The controversy over the role of low to moderate alcohol use and future heart attack relates to inconsistent results among the many studies on the topic. The lowest rates of heart attacks have been in those with low to moderate alcohol consumption and higher rates in those who did not drink or have high rates of alcohol consumption.

This article summarizes representative epidemiological and animal studies on these cardiovascular consequences of chronic heavy alcohol consumption and reviews mechanisms that have been suggested to explain alcohol’s effects. Long-term heavy alcohol consumption induces adverse histological, cellular, and structural changes within the myocardium. These mechanisms contribute to the myocyte cellular changes that lead to intrinsic cell dysfunction, such as sarcoplasmic reticular dysfunction and changes in intracellular calcium handling and myocyte loss. However, modulatory influences related to drinking patterns, genetic susceptibility, nutritional factors, ethnicity, and gender also many play a role (Piano and Phillips 2014) (figure 4). Altered platelet responses (e.g., increased platelet activation/aggregation) leads to blood-clot formation (or thrombosis) in certain CV conditions.

Understanding how alcohol affects the mind, body, and overall health can help you make the most informed decisions about your consumption habits. If you’re concerned with your alcohol consumption and attitude toward drinking, talk to a healthcare provider as a first step. If you are drinking heavily or are worried you may be dependent on alcohol, reach out to a healthcare provider before you start reducing your alcohol consumption to determine the safest way to make changes. There’s been an uptick in non-alcoholic drink options, as more and more companies are creating alternatives. A 2020 study found that when weekly drinkers were presented with and aware of increased non-alcoholic options, they were likely to choose them.

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