Alcohol consumption and heart failure: a systematic review

Luc Djoussé1, J Michael Gaziano

  • 1Division of Aging, Brigham and Women's Hospital, Harvard Medical School, 1620 Tremont Street, 3rd Floor, Boston, MA 02120, USA. ldjousse@rics.bwh.harvard.edu

Insights

Alcohol consumption influences heart failure (HF) risk. This review examines how drinking patterns, not just quantity, and genetics impact HF development, highlighting prevention strategies.

Area of Science:

  • Cardiology
  • Public Health
  • Genetics

Background:

  • Heart failure (HF) is a significant public health concern, with high mortality rates despite advanced treatments.
  • Modifiable lifestyle factors, particularly alcohol consumption, are implicated in HF development.
  • The relationship between alcohol and cardiovascular health is complex, involving quantity, patterns, and genetic predispositions.

Purpose of the Study:

  • To review current scientific evidence on the association between alcohol consumption and heart failure.
  • To explore the nuanced role of drinking patterns and genetic factors in alcohol-related cardiovascular disease.
  • To underscore the importance of primary prevention strategies for heart failure.

Main Methods:

  • Literature review of existing studies on alcohol consumption and heart failure.
  • Analysis of research investigating drinking patterns, genetic influences, and cardiovascular outcomes.
  • Synthesis of evidence regarding alcoholic cardiomyopathy and potential cardiovascular benefits of light-to-moderate drinking.

Main Results:

  • Excessive alcohol intake is linked to alcoholic cardiomyopathy.
  • Light-to-moderate drinking may offer some cardiovascular benefits, but this is debated.
  • Drinking patterns and genetic factors significantly modulate the impact of alcohol on heart failure risk.

Conclusions:

  • Alcohol consumption is a critical, modifiable factor in heart failure development.
  • Understanding individual genetic predispositions and drinking behaviors is essential for accurate risk assessment.
  • Further research into personalized prevention strategies for alcohol-related heart conditions is warranted.

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