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Curr Treat Options Cardiovasc Med. 2011 Aug;13(4):313-25. doi: 10.1007/s11936-011-0131-z.

Alcohol and the heart: an ounce of prevention.

Current treatment options in cardiovascular medicine

Danny J Eapen, Pankaj Manocha, Kiran Valiani, Nicholas Mantini, Laurence Sperling, Gerard M McGorisk

Affiliations

  1. Department of Medicine, Division of Cardiology, Emory University School of Medicine, 1364 Clifton Rd, D 407-B, Atlanta, GA, 30322, USA, [email protected].

PMID: 21562797 DOI: 10.1007/s11936-011-0131-z

Abstract

OPINION STATEMENT: Moderate alcohol intake is beneficial to the heart and cardiovascular system. A J- or U-shaped response has been shown in the majority of studies examining alcohol's effect on cardiovascular mortality and downstream cardio-metabolic effects, with heavy alcohol intake associated with worse outcomes. These effects apply to individuals with and without underlying coronary artery disease. However, care must be taken in defining "moderate" intake between the sexes. Males appear to have a wider therapeutic window and can afford 2 to 3 drinks per day whereas women should limit intake to 1 to 2 drinks per day (a "drink" being classified as 10 to 14 grams of alcohol). More than half of alcohol's cardioprotective effects can be attributed to its effect on lipoproteins, specifically an increase in high-density lipoprotein. Interestingly, the risk of cardiovascular mortality in former heavy drinkers has been shown to ultimately approach the risk seen in lifelong abstainers.

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