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Archive » 2008 » 3 » | Archive » Medical field » Fields » Internal Medicine »

Alcohol and Heart Disease

 
Abstract:

This post is also available in: English Slovenščina (Slovenian)

Small amounts of alcohol consumption are associated with a decrease in the incidence of coro­nary artery disease and total mortality, whereas with higher alcohol consumption an increase in total and cardiovascular mortality is observed. Heavy drinking on weekends and during holidays leads to arrhythmias, particularly atrial fibrillation and conduction defects, which has been termed the »holiday heart syndrome«. Long-term alcohol consumption is the lead­ing cause of nonischemic, dilated cardiomyopathy. Alcoholic cardiomyophathy is a specific heart muscle disease with a known cause, which progresses because of continuous drinking, from the asymptomatic to the symptomatic stage with signs and symptoms of heart failure. Alcoholic cardiomyophathy is characterised by increased myocardial mass and dilatation of the ventricles. Changes in ventricular function depend on the stage, in that asymptomatic alco­holic cardiomyophathy is associated with diastolic dysfunction, whereas systolic dysfunction is a common finding in symptomatic patients. Alcohol abstinence, along with the use of spe­cific heart failure pharmacotherapies, is critical in improving ventricular function and outcomes in these patients.

Authors:
Letonja Mitja

Keywords:
alcohol drinking, alcoholism, cardiomyopathy alcoholic

Cite as:
Med Razgl. 2008; 47: 239–44.

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