Alcohol consumption and incident cardiovascular disease: not just one unifying hypothesis.

@article{Conen2015AlcoholCA,
  title={Alcohol consumption and incident cardiovascular disease: not just one unifying hypothesis.},
  author={David Conen},
  journal={European heart journal},
  year={2015},
  volume={36 15},
  pages={
          897-8
        }
}
  • D. Conen
  • Published 14 April 2015
  • Medicine
  • European heart journal
This editorial refers to ‘Alcohol consumption and risk of heart failure: the Atherosclerosis Risk in Communities Study’, by A. Goncalves et al. on page doi:10.1093/eurheartj/ehu514 The occurrence of cardiovascular disease (CVD) events remains the number one cause of death worldwide.1,2 Therefore, the definition of potentially modifiable targets to reduce the incidence of CVD remains a key public health priority. While excessive alcohol consumption is a major contributor to the occurrence of… 
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References

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TLDR
In the community, alcohol consumption of up to 7 drinks/week at early-middle age is associated with lower risk for future HF, with a similar but less definite association in women than in men.
Alcohol Consumption and Risk for Congestive Heart Failure in the Framingham Heart Study
TLDR
The relation of alcohol consumption to the risk for congestive heart failure is probably complex, reflecting the interplay of its coronary protective effects and its myocardial toxic effects.
Alcohol Consumption and Risk of Heart Failure in the Physicians' Health Study I
TLDR
The data indicate that moderate drinking may lower the risk of HF, and the lack of an association between moderate alcohol intake and HF without antecedent coronary artery disease suggests that possible benefits of moderate drinking on HF may be mediated through beneficial effects of alcohol on coronary arteries disease.
Alcohol Consumption and Risk of Atrial Fibrillation in Men and Women: The Copenhagen City Heart Study
TLDR
Heavy alcohol consumption is associated with a higher risk of atrial fibrillation, at least among men, and this relationship does not appear to be related to the adverse effects of heavy drinking on coronary heart disease or blood pressure.
Roles of drinking pattern and type of alcohol consumed in coronary heart disease in men.
TLDR
Among men, consumption of alcohol at least three to four days per week was inversely associated with the risk of myocardial infarction and neither the type of beverage nor the proportion consumed with meals substantially altered this association.
Alcohol consumption and risk of incident atrial fibrillation in women.
TLDR
Among healthy middle-aged women, consumption of up to 2 alcoholic beverages per day was not associated with an increased risk of incident atrial fibrillation and heavier consumption of 2 or more drinks per day, however, was associated with a small but statistically significant increased risk.
Alcoholic cardiomyopathy: incidence, clinical characteristics, and pathophysiology.
TLDR
Alcohol abstinence, as well as the use of specific heart failure pharmacotherapies, is critical in improving ventricular function and outcomes in these patients.
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