Moderate Drinking Might Help Men Live Longer After Heart Attack

WEDNESDAY, March 28 (HealthDay News) — A drink or two per day
may help lower a man’s odds of death in the two decades following a heart
attack, a new study suggests.

The research, which appears online March 28 in the European Heart
Journal
, included more than 1,800 American men who survived a first
heart attack between 1986 and 2006 and were followed for up to 20 years.
During that time, 468 of the men died.

Men who drank about two alcoholic drinks (between 10 and about 30 grams
of alcohol) per day over a long period of time had a 14 percent lower risk
of death from any cause, and a 42 percent lower risk of death from
cardiovascular disease, than nondrinkers, the study found.

For reference, a four-ounce glass of wine contains 11 grams of
alcohol, a bottle or can of beer 12.8 grams, and a shot of spirits 14
grams.

“Our findings clearly demonstrate that long-term moderate alcohol
consumption among men who survived a heart attack was associated with a
reduced risk of total and cardiovascular mortality,” study first author Dr
Jennifer Pai, an assistant professor of medicine at Brigham and Women’s
Hospital and Harvard Medical School and a research associate at Harvard
School of Public Health, said in a journal news release.

“We also found that among men who consumed moderate amounts of alcohol
prior to a heart attack, those who continued to consume alcohol ‘in
moderation’ afterwards also had better long-term prognosis,” she
added.

“Our study was only among men, so we cannot extrapolate to women,” Pai
noted. “However, in all other cases of alcohol and chronic disease,
associations are similar except at lower quantities for women. Thus, an
association is likely to be observed at 5-14.9 grams per day, or up to a
drink a day for women.”

One expert said the study did have its flaws, however.

“Studies such as this look for associations with outcomes,” noted Dr.
Stephen Green, chief of cardiology at North Shore University Hospital in
Manhasset, N.Y. “The public should realize that an association is not a
cause. In other words, this study demonstrates an association, but does
not prove that moderate consumption of alcohol is ‘good’ for people after
[heart attack].”

Green also stressed that “the majority of patients maintained the same
amount of alcohol consumption before and after their first heart attack.
This study does not mean that one should change the amount of alcohol
consumed. For instance, if a patient did not consume alcohol prior to a
heart attack, this study does not mean that they should start
drinking.”

Another expert offered up other caveats.

“Though this study looked at a large number of people, they were all
male health care professionals who, unlike the general population, tend to
take better care of themselves,” noted Dr. Kenneth Ong, a cardiologist at
The Brooklyn Hospital Center in New York City.

“The takeaway here is that moderate drinking does not seem to cause
harm and may possibly be beneficial to the heart,” he added, but that’s no
reason to drink excessively. “High alcohol consumption is definitely shown
to cause a significant number of health complications,” Ong said. “If you
plan to add moderate drinking to your health regimen, you should check
with your health care provider first.”

More information

The American Heart Association has more about alcohol and heart disease.

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