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Alcohol intake and cardiovascular mortality in hypertensive patients: report from the Department of Health

A J Palmer1, A E Fletcher, C J Bulpitt

  • 1Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.

Journal of Hypertension
|September 1, 1995
PubMed

Insights

Moderate alcohol consumption may reduce stroke and heart disease mortality in treated hypertensives. However, higher intakes increase non-circulatory mortality, with 1-10 units weekly showing lowest overall risk in men.

Area of Science:

  • Cardiovascular Medicine
  • Public Health
  • Epidemiology

Background:

  • Hypertension management often involves lifestyle modifications, including alcohol consumption.
  • The impact of alcohol on cardiovascular outcomes in treated hypertensive patients requires further clarification.

Purpose of the Study:

  • To investigate the association between alcohol intake and mortality from ischemic heart disease, stroke, and all causes in treated hypertensive individuals.

Main Methods:

  • Prospective study of 6,369 treated hypertensive patients in the UK.
  • Relative risks for mortality were calculated comparing drinkers to non-drinkers and by level of alcohol consumption.
  • Adjustments were made for confounding factors like age, smoking, and prior cardiovascular disease.

Main Results:

  • Alcohol consumption was common in treated hypertensives (76% men, 48% women).
  • Male drinkers showed reduced stroke mortality risk and potential reduction in ischemic heart disease mortality.
  • Non-drinkers were older, less likely to smoke, and had higher untreated blood pressure.

Conclusions:

  • Alcohol intake, particularly 1-10 units per week, may be associated with lower overall mortality in treated hypertensive men.
  • While alcohol may reduce cardiovascular mortality, higher consumption increases non-circulatory mortality risks.
  • Findings suggest a potential benefit for stroke mortality reduction in treated hypertensives with moderate alcohol intake.
Abstract

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