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酒精与心脏:戒酒还是不戒酒?

Alcohol and the heart: to abstain or not to abstain?

机构信息

Albert Einstein Medical Center, Philadelphia, PA 19141, United States.

出版信息

Int J Cardiol. 2013 Apr 15;164(3):267-76. doi: 10.1016/j.ijcard.2012.01.030. Epub 2012 Feb 14.

DOI:10.1016/j.ijcard.2012.01.030
PMID:22336255
Abstract

Alcohol has been consumed by most societies over the last 7000 years. Abraham Lincoln said "It has long been recognized that the problems with alcohol relate not to the use of a bad thing, but to the abuse of a good thing." Light to moderate alcohol consumption reduces the incidence of coronary heart disease (CHD), ischemic stroke, peripheral arterial disease, CHD mortality, and all-cause mortality, especially in the western populations. However, heavy alcohol consumption is detrimental causing cardiomyopathy, cardiac arrhythmias, hepatic cirrhosis, pancreatitis, and hemorrhagic stroke. In this article, we review the effects of alcohol on CHD, individual cardiovascular risk factors, cardiomyopathy, and cardiac arrhythmias, including the most recent evidence of the effects of alcohol on CHD.

摘要

在过去的 7000 年里,酒精已被大多数社会所消费。亚伯拉罕·林肯曾说过:“人们早就认识到,与酒精有关的问题不在于使用一种坏东西,而在于滥用一种好东西。”轻至中度饮酒可降低冠心病(CHD)、缺血性中风、外周动脉疾病、CHD 死亡率和全因死亡率的发生率,尤其是在西方人群中。然而,大量饮酒会导致心肌病、心律失常、肝硬化、胰腺炎和出血性中风。在本文中,我们回顾了酒精对 CHD、心血管疾病个体危险因素、心肌病和心律失常的影响,包括最近关于酒精对 CHD 影响的证据。

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