What to eat and what to eat after myocardial infarction? Food, products for cardiovascular diseases, heart and vascular diseases. Is it possible to drink alcohol after a heart attack? Is it possible to drink kvass after a heart attack?

The negative effect of alcohol on the heart muscle is manifested in disturbances in rhythm, force of contractions, progression of hypertension and angina pectoris.

A history of myocardial infarction means serious disturbances in the coronary circulation, therefore the best option, even after stenting, is to limit the dose of alcoholic beverages to 10 g per day in terms of pure ethanol. For women, this dose is halved; in addition, at least 2 days a week you need to completely abstain from alcohol.

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Is it possible to drink alcohol after a heart attack?

  • the structure of muscle fibers is disrupted - their density and ability to effectively contract are lost;
  • fats are deposited in heart cells;
  • cardiomyocyte structures capable of producing energy are destroyed;
  • foci of inflammation and inflammation form in the myocardium.

Despite this, there is evidence that alcohol may reduce the risk of death after. This causes a certain contradiction between the results of previous long-term studies.

In addition, to conduct a study on reducing the risk of complications in the post-infarction period when drinking alcohol, patients who drank alcohol in moderate doses before a heart attack were taken.

This means that the detoxifying function of the liver is not impaired, they can fully control themselves regarding the dose, that is, there is no alcohol dependence.

In this case, indeed, taking one glass of high-quality (this is especially important) red wine or one glass of highly purified vodka can be allowed by a doctor.

Watch the video about the dangers of alcohol for the heart and blood vessels:

Are there any restrictions after stenting? The operation to install a stent in the coronary artery improves the quality of life of patients. They can significantly increase physical and social activity, many return to their previous work, and the fear of the danger of angina attacks is gradually lost. So some are renewing bad habits

– smoking and drinking alcohol. Observations by cardiac surgeons indicate that drinking large amounts of alcohol in after surgery leads to dehydration of the body, increased blood viscosity and blockage of the lumen of the vessel in the stent area.

  • Patients who combine the use of alcohol and a sauna or steam bath expose themselves to mortal risk. Therefore, we can draw the following conclusions:
  • A clear recommendation is to avoid alcohol in the first month after surgical treatment.
  • You can drink alcoholic beverages only after consulting a doctor and a full examination.
  • If favorable, minimal doses of red wine are allowed (up to 120 ml per day).

The simultaneous intake of alcohol and heat or heat is prohibited.

How much alcohol can you drink for men and women?

If we consider in more detail the possibility of alcohol intake by cardiac patients, then we need to pay attention to this feature - taking 10 g per day, that is, 50 g per week, is not equivalent to taking the entire dose once.

For Russia, it is the factor of a large single dose that is the determining cause of death from heart disease. It has also been proven that if a person, while taking small doses of alcohol, sometimes (even very rarely) allows himself to exceed them, this leads to 100% progression of the disease.

  • Therefore, you can die from the consequences of coronary heart disease earlier if:
  • drink mostly strong alcoholic drinks,
  • periodically drink more than is allowed,
  • drink a lot of alcohol in a short time,
  • smoking,
  • don't play sports

do not undergo periodic examination and treatment.

After several experiments, it was found that 10 - 20 g per day of pure alcohol is not dangerous for the heart muscle. This is approximately what 100 - 200 ml of wine contains, depending on the strength, and 30 - 50 ml of strong drinks. This amount applies to men, and for women, who have less resistance to alcohol, it is 2 times lower.

For people who know how to stop there, alcohol may not cause harm. Anything beyond this norm is poison for the heart and other internal organs.

The choice in this case is made according to the principle of the least evil. If we evaluate from this point of view, then undoubtedly high-quality and natural red wine, due to the presence of antioxidants, has a less harmful effect on the body.

It can be taken in the absence of other concomitant pathologies (migraine, allergies, peptic ulcers, hepatitis) in the amount of 1 glass 3-4 times a week. In second place is one glass of vodka High Quality

. Beer is tolerated worst of all by heart patients. Alcoholic beverages after myocardial infarction can only be consumed after consultation with the attending physician. This recommendation is also relevant for patients who have undergone coronary artery stenting. No convincing evidence of benefit ethyl alcohol

. Minimum doses, the intake of which does not cause much harm to the myocardium, can be allowed for patients who do not have alcohol dependence and liver dysfunction.

Read also

  • Stenting is performed after a heart attack to restore blood vessels and reduce complications. Rehabilitation takes place with the use of medications. Treatment continues afterwards. Especially after a major heart attack, monitoring of exercise, blood pressure and general rehabilitation is necessary. Do they give you disability?
  • It is not necessary to visit a sanatorium after a heart attack, but it is highly recommended. Rehabilitation there has many advantages. Where can I go to continue treatment? Is it required by law?
  • Not everyone can drink coffee after a heart attack. Actually, like not all cores, it is prohibited. So is it possible to drink coffee after a heart attack, for hypertensive patients, and for arrhythmia?
  • Smoking spoils overall health, and blood vessels suffer greatly from it. What harm does nicotine cause to the legs and brain? Does smoking narrow or dilate blood vessels, does it cause spasm, atherosclerosis? How to recover from a bad habit? If your heart hurts after drinking alcohol, there are several reasons for this. For example, high pressure



  • may cause pain in the heart area. Can the heart itself hurt? What to do if your heart hurts after drinking alcohol or your blood pressure rises? Why does my heart pound, pound, and breathe hard after drinking? How to restore, support, help the heart after heavy drinking? What to do if you feel bad after drinking alcohol? To ensure that the efforts of doctors to preserve life are not wasted, the patient (recovering) must follow the diet prescribed by the cardiologist. Nutrition after myocardial infarction for men plays a huge role in maintaining the balance of important in the body and the process of restoring the function of the heart muscle.

    After a heart attack, you can only eat approved foods.

    Briefly about what can cause myocardial infarction

    The most probable reasons the occurrence of myocardial infarction are as follows:

    • atherosclerosis;
    • blood clots in the coronary artery;
    • arterial spasms;
    • hypertension;
    • vascular operations.

    Provoking factors are identified that cause the conditions described above, leading to an attack of myocardial infarction.

    What causes atherosclerosis? First of all, the reason for this is body fat, which accumulate on the walls of blood vessels. They form plaques that can rupture in certain cases.

    As a result of plaque rupture, a blood clot is formed, which can block the path for arterial blood circulation. As a result of cessation of blood flow, cell necrosis occurs - this is myocardial infarction.

    The rupture of the formed fatty plaque occurs due to high blood pressure in a blood vessel. Therefore, the causes of myocardial infarction are not necessarily physical exercise: This can happen in the early morning or at night.

    Attention! According to statistics, men are more susceptible to heart attacks, while the risk of a second attack among those who have had this disease remains. Therefore, doctors require adherence proper nutrition during the recovery period to reduce the risk of myocardial infarction.

    Prevention of myocardial infarction


    Healthy foods have a beneficial effect on the general condition of the patient: male power and the work of the heart muscle is restored

    To reduce the risk of a myocardial infarction, therapy is used to reduce the possibility of blood clots. For this, patients may be prescribed treatment with aspirin, and those who have recently suffered a myocardial infarction may be prescribed special beta blockers. To improve the condition of the person being rehabilitated, polyunsaturated fatty acids (omega-3), magnesium and potassium supplements are prescribed.

    During the recovery period, which can take quite a while long term, it is recommended to regularly measure your blood pressure twice a day. As additional medicines You can take herbal decoctions.

    Attention! Treatment of myocardial infarction with medications and prescriptions from the attending physician should not be replaced by treatment with decoctions.

    It is important to gradually include in the regime for physical exercise, stick to therapeutic nutrition recommended after myocardial infarction. All preventive measures are aimed at preventing recurrence of the attack and the development of complications of the disease.

    Myocardial infarction: diet


    Daily nutritional norms

    Here is an approximate daily diet for patients who have suffered a myocardial infarction:

    • On an empty stomach: decoction of prunes, dried apricots.
    • Breakfast: porridge with milk, made from ground buckwheat, curd mass (sugar according to the daily allowance), coffee substitute made from barley with milk.
    • Second breakfast: fruit puree (apple), rosehip decoction.
    • Dinner: chicken soup with egg flakes, boiled chicken, currant jelly.
    • Afternoon snack: cottage cheese and carrots with pureed sugar.

    What can a man who has survived a myocardial infarction eat: diet


    Healthy foods made from whole grains

    After experiencing a myocardial infarction, it is necessary to restore normal functioning of the body and reduce the load on the heart. This special helps me dietary food.

    The Pevsner table (medical tables) determines dietary nutrition after myocardial infarction with diet number 10.

    Nutrition principles:

    1. Reduce the overall calorie content of food by adding low-calorie foods.
    2. Reduce the amount of fat - factors in the development of atherosclerosis.
    3. Reduce the amount of food you eat, including salt and water.

    At the same time, the diet has its own characteristics depending on the stage of rehabilitation of those who have suffered an attack.

    7 first days of rehabilitation (acute period)

    In the first seven days, they eat 6 times a day, while foods after myocardial infarction are served in the form of purees. Diet for acute myocardial infarction: the patient is recommended to adhere to the following daily norms for about 7 days:

    1. Protein weight – 50 g.
    2. Fat – 35-40 g.
    3. Carbohydrates -160-200 g.
    4. Liquid in any form – no more than 800 ml.

    This creates a diet of about 1200 kilocalories, and food should be taken without salt.

    7-21 days of rehabilitation (subacute period)

    Food is taken 6 times a day, and the puree-like consistency can be changed to crushed:

    1. Proteins – 65-70 g.
    2. Fats – 55-60 g.
    3. Carbohydrates – 240-250 g.
    4. Liquid – 1000 ml.
    5. Salt no more than 3-4 grams.

    At the same time, the calorie content of the table is no more than 1700-1800 kcal.

    Fourth week of rehabilitation (scarring)

    Food can already be consumed in pieces, while eating 5 times a day. The daily diet should contain:

    1. Protein up to 85-90 g.
    2. Fat no more than 65-70 g.
    3. Carbohydrates are about 300-320 g.
    4. Salt no more than 4-5 g.
    5. Liquids 1000-1100 ml.

    Calorie content increases to 2100-2300 kcal.

    In addition, the food eaten should have optimal temperature at 15-50 degrees, meaning it won't be too cold or hot.

    You should try to eat food more often, but in small amounts, so as not to put too much strain on your heart. In this case, dinner should be at least 3 hours before bedtime.

    As you can understand, a limit is set on the salt content in the diet. This is due to the fact that salt contributes to the formation of edema and prevents fluid from leaving the body; in addition, it thickens the blood, which can impair blood circulation.

    Attention! Drinking alcoholic beverages is strictly prohibited for absolutely everyone who has experienced a myocardial infarction, as they cause agitation nervous system and load the heart, forcing it to work harder. All of these factors increase the risk of another attack. In addition, alcohol has a bad effect on the kidneys, contributing to increased blood pressure.

    What can and cannot be eaten?


    Dieting requires willpower

    The diet after myocardial infarction for men is associated with a decrease in fat mass, and therefore is characterized by a reduced calorie content.

    All foods that contain large volume purines, because these substances have a negative effect on cardiovascular system. And this, in turn, can worsen blood circulation and aggravate the course of rehabilitation. Cholesterol, which everyone has heard about from commercials, must also be excluded. It is found in animal fats.

    The digestive tract and the heart work together: blood circulation during digestion is more active, therefore, in order to relieve the load on the heart, it is necessary to reduce the amount of food consumed at one time. For the same purposes, it is necessary to exclude fermentation products for survivors of an attack. They asked if you can drink kvass? Answer: no!

    You will have to remove foods that are difficult to digest (lamb, mushrooms) from your diet. Food containing carcinogens is also undesirable (baked and fried foods). Food should be digested with the least energy consumption.

    Here is a list of what you need to completely exclude from your diet:

    1. Flour products.
    2. Fatty meat and fish. Soups and broths with big amount fat
    3. Roast.
    4. Salo.
    5. Cold appetizers (canned salted, smoked, caviar).
    6. Egg yolks.
    7. Stew.
    8. Canned and sausage products.
    9. Marinated mushrooms and vegetables.
    10. Confectionery products with a high sugar content.
    11. Beans, cabbage, onions, sorrel, spinach, radish, garlic.
    12. Dairy products high in fat.
    13. Coffee drinks, cocoa and strong tea.
    14. Sweets.
    15. Spices.
    16. Grape juice.

    When limiting sweets, honey is allowed, which is a plant biostimulant rich in vitamins and microelements. After myocardial infarction, during diet therapy, the sugar content in food should be increased gradually.

    Below is a list of foods that can be eaten, and they are indicated according to the diet corresponding to the period of the disease:

    Flour products

    1. Period 1: crackers.
    2. Period 2: one-day old bread no more than 140 g.
    3. Period 3: daily fresh bread up to 250 g, which can be rye.

    Soups

    1. Vegetable broths and soups containing pureed vegetables and boiled cereals no more than 190-200 g.
    2. Period 2-3: soups made from vegetables and cereals cut into small pieces.

    Meat, fish and poultry dishes

    1. Steamed cutlets. Boiled fish.
    2. Meat cooking, poultry dishes and river fish, boiled in pieces.

    Dairy

    It is allowed to add milk to tea or cook porridge. Drink kefir only with a small fat content. Unsalted cheese or shredded cottage cheese are allowed.

    Eggs

    In two forms: omelettes or soups.

    Cereals

    1. All types must be pureed: buckwheat, semolina or boiled oatmeal no more than 200 g.
    2. Porridges should be taken in liquid or viscous form.
    3. You can have up to 200 g of porridge, with a little boiled pasta and cottage cheese.

    Vegetable products

    1. The first diet should contain only pureed vegetables (puree).
    2. In the second period, you can have boiled cabbage (cauliflower) or raw carrots, put through a grater.
    3. In the third, stewed carrots and beets are allowed.

    Snacks

    Completely prohibited in the first two periods of rehabilitation (up to the 4th week). In the third period of treatment, you can eat soaked herring or lean ham.

    Sweets

    1. Jelly and puree from fruits and berries, dry fruits, honey in small quantities.
    2. Diet 2-3: you can take soft varieties of berries and ripe fruits. Increase the amount of sugar to 50 g.

    Supplements

    In the first two periods, you can use lemon and tomato juice, vanillin. Vegetable decoctions and 3% vinegar are allowed.

    Beverages

    Weak tea with lemon or milk, a decoction of prunes or rose hips. Carrot and fruit juices.

    Why do you need a diet after a heart attack and stenting?

    In case of a heart attack, it is extremely important to restore the correct function of the heart muscle, and to achieve accelerated recovery without observing proper diet impossible.

    A diet plan after an attack of myocardial infarction has a beneficial effect on the patient’s weight (he becomes lighter after losing extra pounds), which allows him to reduce the load on the heart and other organs.

    A diet after a heart attack for a man can stabilize the development of coronary artery disease, prevent the occurrence of blood clots, and reduce the likelihood of recurrent myocardial infarction. Thanks to healthy eating, the intestinal tract functions in a lighter mode without constipation.

    Some patients wonder whether they can drink alcohol after a stroke, heart attack or stenting. And all because in modern world One of the main causes of death is coronary heart disease. Death from a stroke or heart attack has now become commonplace, and the age of people susceptible this disease, every year everything gets younger and younger. The achievements of modern medicine make it possible to save many patients, but, unfortunately, after some time, almost all of them end up back in a hospital bed. Such unfavorable developments can be avoided if you lead a healthy lifestyle and follow all the doctor’s recommendations.

    Terrible diseases of our time

    According to statistics, a third of women and half of men have ischemic pathologies that can trigger the development of a heart attack.


    What is a heart attack? Myocardial infarction is an acute form of heart attack in which blood flow to a specific area of ​​the heart is blocked. If such violation continues long time, then the lack of nutrients and oxygen in the heart leads to the fact that cells begin to die. Signs of a heart attack: severe pain in the heart area, radiating to the arm, neck, shoulder. The worst thing is that a heart attack provokes the development of severe complications.

    An excellent solution after a myocardial infarction is coronary stenting. It is a surgical intervention during which a stand in the form of a tube is installed - a frame. It allows you to expand the affected vessel walls to normal size and provide access to the heart of oxygen and blood. The stenting method is considered very simple and effective. It is bloodless, safe and does not cause complications. The only drawback of this method is its urgency. If the operation is not performed in the first hours of a heart attack, then in the future it will no longer be of any use.

    Stroke is one of the leading causes of mortality in the world and is the most dangerous cerebrovascular disease.

    Another terrible disease of our time is stroke. Signs of the disease: speech impairment, spasm of the facial muscles, impaired swallowing and motor function. A stroke occurs due to blockage of a blood vessel supplying the brain by a blood clot, or due to a rupture of the vessel wall and hemorrhage into the brain tissue. Because of this, part of the brain dies, and the person’s functions for which this area is responsible (speech, vision, movement, etc.) are disrupted.

    The effect of alcohol on blood vessels and the heart


    Alcohol has mixed effects on the cardiovascular system. In chronic alcoholism, it is the heart that suffers first. Alcohol directly affects the walls of blood vessels and the myocardium. With alcoholism, signs of alcoholic myocardiopathy develop. And even small regular doses of alcohol can lead a person to hypertension.

    Drinking alcohol leads to:

    • disruption of thermoregulation, which negatively affects the functioning of many body functions;
    • failure of autonomic regulation, which provokes the occurrence of neuroses and a general deterioration in a person’s quality of life;
    • changes in blood volume in the human body - blood deficiency can lead to anemia, necrosis and impaired brain activity;
    • rigidity of the vascular wall, which can cause atherosclerosis.

    With alcoholism, all of these factors can eventually lead to myocardial hypertrophy, heart failure, coronary heart disease and myocardial infarction. Discussions around the benefits and harms of alcohol take place regularly.


    Opinions Arguments of experts
    Benefit Some experts argue that drinking alcohol in small quantities is possible and even necessary. They attribute this to the fact that small doses of alcohol normalize the lipid composition of the blood, reduce its viscosity and have an antiplatelet effect. In addition, alcohol prevents the development of atherosclerosis by increasing the formation of high-density lipoproteins. Red wine is considered the most effective, containing not only alcohol, but also antioxidants, polyphenols, catechins and resveratrols, which have a positive effect on the blood.
    Harm But other doctors competent in this area believe that even moderate doses of alcohol are just as harmful as excessive consumption. But if we approach the discussion from the other side, alcohol has a negative effect on the pancreas, as a result of which insulin production is disrupted and the risk of developing diabetes increases. And this, in turn, is a risk factor for developing a stroke or heart attack.

    Even a slight excess of the dose of alcohol increases blood viscosity, which means the likelihood of blood vessel thrombosis increases significantly.

    Drinking alcohol after stroke and heart attack

    Many studies have been conducted by specialists to answer the question of whether it is possible to drink alcohol after a heart attack and coronary stenting. The most large-scale study of the last century involved representatives of the stronger half of humanity who had suffered a myocardial infarction and stenting surgery. Most best result showed a group of men who had the right to drink alcoholic beverages regularly, but in small doses. In men who do not drink at all, the risk of another heart attack in the next 4 years is 32% higher than in those who drink little but regularly.

    In America, a study was also conducted in which 7,500 men participated after a heart attack and stenting. The highest mortality rate was observed among those who had previously consumed alcohol and, after suffering from an illness, completely abandoned it. Signs of withdrawal syndrome are very difficult to tolerate for an already weakened body. Moderate alcohol consumption has a beneficial effect on the blood and makes coronary stenting surgery as effective as possible. Patients who do not drink at all often have to undergo stenting surgery again.

    More controversial is the timing of drinking alcohol after a stroke. If during a stroke a rupture of the vessel walls occurs, then it is important to completely avoid alcoholic drinks (even beer). If the stroke occurs due to a blood clot, then small doses of alcohol will help prevent thrombosis and atherosclerosis. Although it cannot be ruled out that the first stroke occurred from alcohol. Then you should radically reconsider your lifestyle. Otherwise, the consequences of a subsequent stroke may become irreversible.


    You can drink alcohol after a stroke, heart attack or stenting, and in some cases you even need to, but in small doses. Sometimes a mug of beer, a glass of wine or a glass of vodka is allowed. Under no circumstances should you drink too much at one time. It is optimal to drink alcohol on holidays in limited quantities.

    alkozm.ru

    Features of myocardial infarction

    Myocardial infarction is an acute form of coronary heart disease. As a result of atherosclerosis, when cholesterol and fat are deposited on the walls of blood vessels, plaques are formed. The vessels lose their elasticity, the lumen narrows and blood flow is disrupted, as a result the heart receives less oxygen and nutrients.

    If blood does not enter the heart muscle within several minutes due to a blood clot formed at the site of damage to the vessel, then part of the heart muscle begins to die. This is myocardial infarction.

    One of the reasons for the development of a heart attack is alcohol abuse. Since myocardial infarction is a serious and dangerous disease, the use alcoholic drinks in large quantities increases the risk of disease.

    Psychological problems arise and there may also be harm internal organs. With a hangover, dehydration occurs, which leads to increased blood clotting and an increased risk of blood clot formation.

    Risk of myocardial infarction

    Sometimes a heart attack occurs in a bathhouse after drinking alcohol in large doses. At high temperature, excessive sweating can cause blood clots in vessels that do not have plaques.

    Myocardial infarction often ends in death, although the achievements of modern medicine make it possible to save many patients with timely treatment. But it happens that after a while they again end up in the hospital with heart attacks. To reduce the risk of negative manifestations, the patient needs to change his life, adhere to the recommendations of the treating cardiologist, follow a special diet and lead a healthy lifestyle.

    Drinking alcohol in moderation

    As for drinking alcohol in moderation after a heart attack, its effect on the cardiovascular system is ambiguous, because ethyl alcohol has different action on human blood. Its positive point is that small doses have an antiplatelet effect and normalize the lipid composition of the blood. This is most pronounced in red wine, since in addition to alcohol it contains other substances that affect the blood.


    These are antioxidants, resveratropes, cahetins, polyphenols and others. If you drink alcohol in small quantities, it reduces the viscosity of the blood and reduces its coagulability, which prevents the formation of blood clots.

    Alcohol promotes the formation of high-density lipoproteins, which complicate the development of atherosclerosis. Not a large number of alcohol has a positive effect. Alcohol in an amount of 10 to 30 grams reduces the possibility of blood clots and blockage of blood vessels. Women need to reduce the dose by half.

    Experiment on alcohol consumption after a heart attack

    According to the results of studies conducted by American specialists, men who drank alcohol in small portions after a myocardial infarction were less likely to suffer from cardiovascular diseases or die from them than those who did not drink at all.

    IN research group men took part of different ages who have had a heart attack. During the experiment, the following data were taken into account:

    • patient weight;
    • diet feature;
    • How active is your lifestyle?
    • physical exercise;
    • his well-being;
    • what quantity and type of alcohol does he consume per day?

    The experiment participants were divided into 4 groups: absolutely non-drinkers; light drinkers, not exceeding a dose of 10 grams; drinkers in moderation, no more than 30 grams per day; drinking more than 30 grams per day. The result was that those men who drank no more than 30 grams per day had a greater chance of not dying from cardiovascular disease than those who did not drink at all. The type of alcoholic beverages did not matter.

    The studies carried out showed only a general picture. Therefore, before drinking alcohol after a myocardial infarction, you should definitely talk to your doctor.

    The general health of the patient, his individual characteristics are different in each individual case, so the consequences may also be different. They depend on the location of the myocardial lesion and the time during which treatment was provided. health care. The patient may also have concomitant diseases that are incompatible with alcohol. In such cases, alcoholic drinks should be strictly prohibited.

    The effects of alcohol on the body

    The term “alcohol” means expensive, high-quality alcohol. This is especially true for dry red wine. Cheap alcoholic drinks, cocktails provide Negative influence on the human body due to the harmful ingredients they contain.

    We must not forget about how much alcohol you can drink. Even one-time increased consumption can nullify the positive result. And one caveat: about drinking alcohol in moderation, you should consult your doctor to determine the compatibility of taking medications with alcohol.


    But there is another point. Alcohol, having a negative effect on the pancreas, increases blood sugar and increases the risk of pathologies such as diabetes. It should be noted that alcohol affects the myocardium and vascular walls, so if a person drinks alcohol excessively, this leads to alcoholic myocardiopathy.

    What causes a heart attack

    The development of this pathology is facilitated by such circumstances as a violation of autonomic regulation; inelasticity of the vascular wall; dilatation of peripheral vessels; decrease in blood flow volume.

    As a result, signs of myocardial growth appear, which leads to heart failure. Enlargement of the myocardium leads to greater consumption of nutrition through the bloodstream, and the coronary arteries cannot cope with the load, resulting in coronary heart disease and myocardial infarction.

    The issue of alcohol after a heart attack is not resolved by a categorical ban, as was the case before. It is now believed that moderate consumption of quality alcoholic beverages in holidays will not cause harm and will reduce the risk of a heart attack.

    Alcohol consumed in large quantities after a heart attack leads to an increased risk of mortality.


    wmedik.ru

    Are alcohol and heart attack compatible?

    It is believed that it is better not to drink alcohol at all after a heart attack. There is a sound grain in such reasoning, because the drink provokes vasoconstriction during decay and poisons the body, which increases the load on the diseased heart. But in small quantities, wine and other alcohol-containing drinks have a positive effect on the body.

    A person who has had a heart attack can drink 2 glasses of wine or a glass of cognac/vodka per day. But you should not abuse this. You cannot drink more alcohol in the hope that your blood vessels will dilate and your heart will work better. Ethanol enters the body with drinks. At a concentration of more than 30 grams, it causes poisoning. As a result, not only does the well-known fume form, but also the veins and capillaries narrow. Against this background, the patient develops arrhythmia. Among the disadvantages of drinking alcohol for people with heart disease are:

    • poor heart function;
    • hypertension mutating into a chronic form;
    • increased load on blood vessels;
    • changes in the composition and quality of blood.

    For this reason, you cannot increase the dose of ethanol in the blood. Women, despite the fact that they are more resistant to various cardiac anomalies, are recommended to drink no more than 1 glass of wine per day or half a glass of cognac. This is due to the fact that the body of the weaker sex has a harder time coping with ethanol.

    By the way, doctors give similar advice to people who have had a stroke. The effect of alcohol on the brain and blood vessels has not been fully studied, so it is better not to drink alcohol until cognitive functions are restored. Next, doctors advise monitoring your condition. If, when alcohol enters the body, a person’s blood pressure rises or he becomes ill, then he should abstain from such drinks altogether.

    What do the researchers say?

    Recent American studies say that men who drink alcohol at least once a week are less likely to die from a second heart attack or any other cardiovascular disease. The study involved 2,000 people of different nationalities and ages. After completing the research, scientists came to an interesting conclusion. The risk of death in drinking patients decreased by 14%, and the risk of re-encountering cardiovascular diseases decreased by 42%.

    According to experts, the results obtained cannot be considered unambiguous. With regular consumption of alcohol, the risk of developing diseases decreases; this is true only for those people who can tolerate ethanol normally. In other cases, alcoholic drinks can lead to the following consequences:

    1. Serious damage to the heart muscle, which can provoke a second attack and lead to death.
    2. An increase in the volume of the heart, which negatively affects the functioning of the entire system.
    3. Development of hypertension or ischemic disease. It is possible that both diseases manifest themselves in a person at the same time.
    4. Various heart rhythm disturbances.

    Another study conducted in America shows that by consuming ethanol in amounts of less than 30 g, patients increase their chances of living a long life. The study involved men who not only had a heart attack, but also those who successfully underwent rehabilitation after stenting. Exceeding the described dose, on the contrary, increased the risk of repeatedly ending up in the clinic.

    Another remarkable fact was noticed during the research process. In older people, blood pressure increases much faster as a result of alcohol entering the bloodstream than in middle-aged people. The information obtained during the study does not contradict the data that the European Society of Cardiology is guided by. They believe that 30 g of ethanol is a harmless dose for any person. Please note that the given dose of ethanol is not normal for women who have had a heart attack. When calculating the “useful” amount of alcohol, it must be reduced by 1.5-2 times.

    But as noted earlier, the individual characteristics of the human body play an important role in all this. If you feel bad after one sip of wine, then you should not try to force yourself to drink two whole glasses. If the body reacts negatively, you must completely stop drinking alcohol. This way you will save your life. In addition to drinking alcohol, there are other ways to support the body after a heart attack. These include sports, a balanced diet, and various practices.

    cardioplanet.ru

    Research into the effects of alcohol on the cardiovascular system

    Two thousand patients took part in this serious study. The results were surprising. It turns out that those who, after a heart attack, sometimes allowed themselves to relax by drinking a small amount of alcohol were less susceptible to various diseases, including cardiovascular diseases. It is important to note that the average permitted amount of alcohol should not exceed 29 g per day. Quitting alcohol completely can cause even more harm.

    How does alcohol in large quantities affect the heart and blood vessels:

    • the main muscle is damaged, which explains high percent mortality;
    • the risk of developing alcoholic cardiomyopathy increases;
    • heart rhythm is lost;
    • the incidence of hypertension increases, and then a heart attack may develop.

    The experiment was carried out for more than 20 years, there were enough patients in the database, so we can judge the veracity this study. During this impressive period of time, out of two thousand subjects, only 418 people died. It is worth taking age into account.

    The following parameters were indicated in each patient’s card:

    • correspondence of body weight and height;
    • diet;
    • ongoing training or health procedures;
    • lifestyle in general;
    • complaints and well-being;
    • alcoholic drinks consumed and their quantity.

    According to the listed parameters, the subjects were divided into four groups:

    1. Those who don't drink alcohol at all.
    2. From 0.1 to 10 g of ethanol per day.
    3. From 10 to 30 g of ethanol per day.
    4. More than 30 g of ethanol per day.

    Regardless of the type of alcohol consumed, patients in the third group were less susceptible to various heart diseases than the first.

    If we talk about the fourth group, then it was equated to the first. The incidence and mortality rates were the same here. Therefore, a separate conversation is necessary with patients who drink alcohol before a heart attack, since if you completely give up alcohol, you can cause even more harm to the body.

    Alcoholic drinks after myocardial infarction

    From the above, it is clear that completely abstaining from alcohol after a heart attack can have a bad effect on your health. Small doses of alcohol can dilate blood vessels and restore blood circulation. But a large percentage of doctors still adhere to the old opinions. They strictly prohibit their patients from drinking alcohol.

    But if before a heart attack a person sometimes allowed himself to relax, the body will not understand such a prohibition and will respond with various pathologies.

    The cardiovascular system is primarily affected. You can’t rush headlong into the pool, but a small dose of alcohol won’t hurt.

    Although there are a number of contraindications in some cases:

    • blood pressure surges;
    • frequent interruptions in the functioning of the heart muscle;
    • changing blood composition;

    It is these aspects that do not allow exceeding the permitted dose of ethanol of 30 g. Abuse can lead to a tragic outcome.

    Since the study involved mostly men, things were different for women. How much alcohol are they allowed to drink per day? This figure ranges from 5 to 15 g. But in difficult situations, a doctor’s consultation is necessary. In addition to cardiovascular pathologies, there are a number of other diseases for which alcohol is strictly prohibited. Every patient should know about this.

    Coronary heart disease is one of the main causes of mortality in modern society. Unfortunately, death from a heart attack or stroke is so common that it no longer surprises anyone. But these diseases do not always end in death. Modern medicine allows us to save a fairly high percentage of such patients. The problem is that they often end up back in the hospital bed after some time with repeated attacks.

    To reduce the risk of such an unfavorable development of events, competent prevention of relapses is necessary, which consists of following the doctor’s recommendations and, of course, managing healthy image life. In this light, patients after a heart attack, stroke, mini-stroke and stenting are interested in whether they can now drink alcohol.

    The effect of alcohol on the cardiovascular system is controversial. Leading doctors from different countries still have not come to a consensus on this matter. The fact that with chronic alcoholism the heart suffers greatly is beyond doubt. The discussion revolves around moderate doses of alcohol. Some experts argue that they are as harmful as drinking too much alcohol, while others say that drinking alcohol in small quantities is beneficial.

    It's all about the ambiguous effect of ethyl alcohol on human blood. On the one hand, its small doses have an antiplatelet effect and normalize the lipid composition of the blood. This effect is especially pronounced in red wine, which is due to the presence in it not only of alcohol, but also of other substances that affect the blood: antioxidants, resveratrol, catechin, polyphenols, etc. A small amount of alcoholic beverages reduces the synthesis of blood clotting factors, reducing its viscosity and tendency to thrombosis. In addition, alcohol increases the formation of high-density lipoproteins, which prevent the development of atherosclerosis.

    On the other hand, ethanol increases the risk of developing diabetes. This occurs due to a negative effect on the pancreas. As a result, insulin production is disrupted, and alcohol increases blood sugar levels, which is known to be a risk factor for heart attack and stroke. Even if the dose of alcohol is slightly exceeded, water loss occurs (a sign of this is severe thirst during a hangover), which means that blood viscosity becomes higher.

    The direct effect of alcohol on the myocardium and vascular wall is of great importance. It is clear that for a person who does not stop drinking for a long time, it will be clearly negative: with alcoholism, signs of alcoholic myocardiopathy develop. But small doses of ethanol are incapable of direct toxic effects. However, over time they can lead to hypertension.

    There are several factors contributing to this:

    • violation of autonomic regulation,
    • rigidity of the vascular wall,
    • dilatation of peripheral vessels,
    • change in circulating blood volume.

    As a result, over time, signs of myocardial hypertrophy appear. And hypertrophy is always unbalanced growth. Up to a certain point in time, this condition is compensated, but then the reserves are depleted. Heart failure develops. In addition, an enlarged myocardium requires more blood supply, and the coronary arteries may not be able to cope with such a load. A possible outcome in this case is coronary heart disease and myocardial infarction.

    Alcohol after myocardial infarction

    A huge amount of research has been conducted on the topic of whether it is possible to drink alcohol after a heart attack and coronary stenting. One of the largest - back in the last century. It involved men who had suffered a myocardial infarction and coronary stenting surgery. The best survival rate was shown by the group of subjects who drank alcohol daily, but in small quantities. It has been calculated that the risk of death in men from another myocardial infarction in the next four years is thirty-two percent lower among those who regularly drink small amounts of alcohol, compared with men who do not drink alcohol.

    A similar study was conducted in America. It involved 7,500 men who had suffered a myocardial infarction and coronary stenting. According to the results, the risk of developing coronary heart disease in people who drink moderately is thirty-eight percent less than in those who do not drink at all. The highest mortality rate was among men who had previously consumed alcohol but decided to quit drinking after suffering from an illness. This can be explained by the development of signs of withdrawal syndrome in them, which is quite difficult for the body to tolerate.

    Moderate alcohol consumption makes coronary stent surgery more effective. Among men who did not drink alcohol after balloon angioplasty, restenosis (repeated narrowing of the vessel) and thrombosis were much more common. It was non-drinking men who had to undergo stenting surgery most often. This fact can be explained by the fact that a small amount of ethanol has a beneficial effect on the blood.

    In addition, experiments on laboratory animals have shown that taking small doses of alcohol promotes a gentler restoration of blood flow (this is explained by the effect of ethanol on oxidative processes in cells).

    The style of drinking is of great importance. The same amount can be spread over a week, or you can drink it at once. The second type of behavior for people who have had a heart attack and stenting is unacceptable. If you have coronary heart disease, you should never drink large amounts of alcohol at once. This creates stressful situation for the body and excessive stress on the heart. Thus, over the past ten years, 29% of men and 8% of women who died from myocardial infarction showed signs of high blood alcohol levels.

    Alcoholic drinks after a stroke

    The question of whether you can drink alcohol after a stroke (or mini-stroke) is more controversial. The answer to it is largely determined by what kind of stroke a person has experienced: ischemic or hemorrhagic (this is determined by a neurologist based on a number of signs; currently, doctors rely primarily on computed tomography data). If the stroke was hemorrhagic, then you should definitely say “no” to alcohol, even if it is just a micro-stroke. It's all about the increase in blood pressure under the influence of ethanol (it is hypertension that most often leads to hemorrhagic stroke). Therefore, even a micro-stroke is a signal of danger, the first sign that it is time to radically change your lifestyle.

    In the case of ischemic stroke or microstroke, everything is much more complicated. Its main causes are atherosclerosis and thrombosis, and alcohol in small doses helps prevent these conditions. However, it is possible that the first stroke or micro-stroke was caused by alcohol consumption (the main sign that allows us to draw such a conclusion is the amount of alcohol consumed recently).

    In any case, you should definitely reconsider your attitude towards alcohol: now you can only drink in small portions, and nothing else. If a person gets heavily drunk, he runs the risk that a micro-stroke will develop into a major stroke, and the consequences will be very serious. In general, studies conducted among men who have suffered an ischemic stroke or mini-stroke show the same figures that are typical for a heart attack.

    As statistics show, alcohol after a heart attack, stenting and ischemic stroke (ministroke) can be consumed (and even useful), but only in small quantities: no more than a glass of wine, a mug of beer or a glass of vodka per day (this dose is calculated for men, for women it should be even smaller). However, you should not start drinking for medicinal purposes: there are medications for this. Modern drugs cope with protecting the heart and blood vessels much better than alcohol. It will be optimal if you drink only on holidays, but in small doses.

    The situation is even more complicated with a stroke . If a number of signs determine that it is hemorrhagic, then alcohol is definitely prohibited. For ischemic stroke, as well as for heart attack or stenting, a small amount of ethanol is allowed. In any case, before you start drinking alcohol after a stroke or heart attack, you should consult with your doctor. Only he will be able to take into account the state of your body and the compatibility of alcohol with the medications you are taking. Remember that his opinion in this matter should be decisive.