Can people with heart disease drink alcohol?

Written by Zhang Yue Mei

Cardiology

Updated on September 25, 2024

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Patients with heart disease should not drink alcohol, especially those with severe heart conditions, including heart failure and arrhythmias. Drinking alcohol can excite the sympathetic nervous system, increase heart rate, enhance myocardial oxygen consumption, increase cardiac burden, and worsen arrhythmias and heart failure. Additionally, patients with organic heart disease who regularly require medication should avoid alcohol. Alcohol can chemically interact with certain medications or reduce their effectiveness, potentially harming the body.

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Manifestations of Cor Pulmonale

Cor pulmonale refers to a disease characterized by changes in heart structure and function due to increased pulmonary vascular resistance caused by pathological conditions of the bronchi, lungs, thoracic cage, or pulmonary vessels, leading to pulmonary arterial hypertension. This condition is collectively known as cor pulmonale. The clinical manifestations of cor pulmonale generally develop slowly. Clinically, in addition to pulmonary and pleural symptoms, there gradually appear signs of pulmonary cardiac failure and damage to other organs. Common symptoms include coughing, expectoration, palpitations, dyspnea, fatigue, decreased endurance to physical activity. In the decompensated stage, symptoms such as worsening dyspnea, headaches, insomnia, decreased appetite, and even some signs of right heart failure like palpitations, poor appetite, abdominal bloating, nausea, and swelling of the lower limbs may occur.

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Can people with heart disease drink alcohol?

Patients with heart disease should not consume alcohol, especially those with severe heart conditions such as coronary heart disease, severe arrhythmias, and viral myocarditis. These patients especially should avoid alcohol as they need to use many medications during treatment. If they consume alcohol, the alcohol entering the body can chemically interact with some medications, leading to reduced efficacy, diminished effects, or causing side effects. Additionally, for these heart disease patients, consuming alcohol can increase the burden on the heart and exacerbate symptoms of heart disease.

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Complications of cor pulmonale

Complications of cor pulmonale commonly include several conditions. The first is pulmonary encephalopathy, caused by respiratory failure leading to hypoxia and carbon dioxide retention, which can cause somnolence in patients and, in severe cases, lead to coma. The second is acid-base imbalance and electrolyte disturbances. Cor pulmonale may present with various electrolyte disturbances, such as hyponatremia and hypokalemia. The third is arrhythmias, most commonly manifesting as atrial premature beats or paroxysmal supraventricular tachycardia. The fourth complication is shock. Shock is not very common in cor pulmonale, but if it occurs, the prognosis is poor.

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Is rheumatic heart disease serious?

Rheumatic heart disease is a type of organic heart disease caused by an abnormal immune response, leading to pathological changes in the heart valves, which pose significant risks to the body. Due to valve insufficiency or stenosis, rheumatic heart disease causes changes in hemodynamics, leading to heart failure and pulmonary edema. These are severe conditions for patients and require timely treatment and correction. If effective dietary therapy is not administered, especially for pulmonary edema, it can be life-threatening.

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Can heart disease be inherited?

Whether heart disease is hereditary depends on the specific type of heart disease. Some heart conditions are hereditary diseases, such as hypertrophic cardiomyopathy, which is an autosomal dominant inherited disease and can be inherited. Some heart diseases are related to genetics, such as coronary heart disease and dilated cardiomyopathy. These genetically related diseases significantly increase the risk of their offspring developing these conditions, but it does not necessarily mean that they will develop the disease, as environmental factors also play a crucial role. Of course, some heart diseases are not genetic, such as most congenital heart diseases, heart valve diseases, infective endocarditis, and myocarditis, which are not related to genetics.