Cardiovascular Risk May Temporarily Increase After Alcohol Consumption

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Alcohol is linked to increased CV risk in the hour following consumption, but becomes protective within 24 hours.
Alcohol is linked to increased CV risk in the hour following consumption, but becomes protective within 24 hours.

(HealthDay News) — In as little as an hour after consuming an alcoholic beverage, cardiovascular risk may go up, according to research published in Circulation

The findings were also presented at the American Heart Association's Epidemiology and Prevention/Lifestyle and Cardiometabolic Health 2016 Scientific Sessions in Phoenix.

Elizabeth Mostofsky, ScD, instructor at the Harvard School of Public Health and a postdoctoral fellow at Beth Israel Deaconess Medical Center in Boston, and colleagues reviewed 23 previously published studies that compared the risk for heart attack and stroke in the hours and days after drinking alcohol. 

In all, 29 457 people were included in these studies.

The researchers found that within 1 to 3 hours, a single drink of alcohol increased heart rate and disrupted the heart's normal rhythm. But at 24 hours, moderate drinking improved blood flow, the functioning of the lining of blood vessels and reduced clotting, the study showed. 

Moderate drinking — up to 6 drinks a week in the studies — immediately increased the risk for heart attack and stroke, Dr Mostofsky told HealthDay. However, within a day, it was protective and tied to a lower risk for heart attack or stroke from bleeding. Within a week, moderate drinking was linked with a lower risk for stroke from clots, she said.

Heavy drinking, however, was associated with higher risk for heart attack and stroke across the board, according to Dr Mostofsky said. A total of 6 to 9 drinks a day increased the risk as much as 2-fold, while 19 to 30 drinks a week increased the risk as much as 6 times. 

"Heavy drinking increases risk both in the short term and the long term, but drinking smaller amounts has different effects in the subsequent hours than it does in the subsequent days and weeks," Dr Mostofsky added.

Reference

  1. Mostofsky E, Chahal HS, Mukamal KJ, Rimm EB, Mittleman MA. Alcohol and Immediate Risk of Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis. Circulation. 2016. doi:10.1161/CIRCULATIONAHA.115.019743.
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