Russian Heart Failure Journal 2004year Alcohol and heart failure. Part I. Alcohol as a risk factor for cardiovascular diseases


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2004/

Alcohol and heart failure. Part I. Alcohol as a risk factor for cardiovascular diseases

Zhirov I.V.

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The first part of lecture is devoted to the interrelationship between alcohol consumption and major cardiovascular diseases (CVD) resulting in early development of chronic heart failure (CHF). Multiple clinical studies have demonstrated the effect of alcohol abuse on development of arterial hypertension (AH). At the same time it was noted that mere refusal of alcohol consumption is an efficient factor of prevention and sometimes an efficient means for decreasing blood pressure (BP). It is also above any doubt that alcohol abuse is an independent risk factor (RF) for ischemic heart disease (IHD). Although regular (not shock-like) consumption of alcohol in moderate doses is associated with decreased IHD morbidity, regular moderate consumption of alcohol increases risk of morbidity, traumatism and poisoning as well as relapse of consumption against the background of ethanol addiction. There are only few studies on peculiarities of alcohol influence on the cardiovascular system in patients with diabetes mellitus (DM). Clinical evidence for any specific effect of alcohol on myocardial damage and coronary blood vessels in DM is absent.

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