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Published on: November 15, 2024
Alcohol and cardiovascular disease in the geriatric population
Aditi Kalla1, Vincent M Figueredo1,2
1Institute for Heart & Vascular Health, Division of Cardiology, Einstein Medical Center, Philadelphia, Pennsylvania.
Insights
Moderate alcohol consumption shows no harm and potential cardiovascular benefits for older adults. However, heavy drinking increases risks of heart failure and hypertension in this age group.
Area of Science:
- Gerontology
- Cardiovascular Medicine
- Public Health
Background:
- Limited research exists on alcohol's impact on the elderly population.
- Alcohol consumption and heavy episodic drinking have increased in US adults aged 65+.
- Both potential cardiovascular benefits and risks of alcohol abuse are significant in older adults.
Purpose of the Study:
- To review existing data on alcohol consumption and cardiovascular outcomes in older adults.
- To examine effects on heart failure, hypertension, arrhythmias, and vascular function.
- To differentiate impacts of moderate versus heavy alcohol use in the elderly.
Main Methods:
- Systematic review of available data on alcohol consumption in adults aged 65 and older.
- Analysis of studies focusing on cardiovascular disease, cardiomyopathy, arrhythmias, hypertension, and vascular function.
- Evaluation of epidemiological data and clinical findings related to alcohol intake patterns.
Main Results:
- Moderate alcohol consumption in older adults does not elevate risks for heart failure, hypertension, or atrial arrhythmias.
- Moderate intake may enhance vascular function and decrease cardiovascular disease events in the elderly.
- Heavy alcohol consumption or abuse negates protective effects, increasing heart failure and hypertension incidence.
Conclusions:
- Moderate alcohol intake appears safe and potentially beneficial for cardiovascular health in the elderly.
- Heavy alcohol consumption poses significant cardiovascular risks, including exacerbating hypertension and increasing heart failure.
- Further research is needed to fully understand alcohol's complex role in geriatric cardiovascular health.
Abstract:
There has been little focus on the effects of alcohol on the elderly. Although the cardiovascular benefits of moderate alcohol consumption could be of the greatest benefit in this group, so might be the detrimental effects of abuse. In this article, we review available data on the effects of alcohol consumption on cardiovascular disease, cardiomyopathy, arrhythmias, hypertension, and vascular function in older adults. Alcohol consumption has increased in the US population age 65 years and older in the last decade, as has monthly heavy episodic drinking in older alcohol consumers. Studies of alcohol consumption in older subjects suggest that consumption in moderation does not increase the risk of heart failure, hypertension, or atrial arrhythmias, and may in fact improve vascular function and reduce cardiovascular disease events. As in younger subjects, heavy consumption, or abuse of alcohol, negates any potential protective cardiovascular effects, increasing the incidence of heart failure and hypertension. Although alcohol consumed in moderation does not appear harmful in the elderly population, heavier consumption exacerbates hypertension and increases the incidence of heart failure.
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