Alcohol for hypertension

Cardiologists to the question: “Is it possible to drink alcohol with hypertension?” Answer unequivocally – no. This categorical answer is precisely because most patients do not have a sense of proportion. There is a safe amount of alcohol that does not really affect the functioning of the heart and does not lead to vasoconstriction. Which one?

There is a correlation between myocardial diseases and the amount of alcohol equal to the English letter J. For example, a small amount of wine will in no way worsen well-being and will not affect the health of hypertension. While a slight increase in this dose by 50 ml leads to a sharp deterioration – the pressure rises, the risk of hypertensive crisis increases.

What is the safe dose of alcohol? How much can you drink hypertension for the holiday? Without health consequences, it is allowed to drink 50 milliliters of red wine and no more. Moreover, this is a safe dosage per day. But this does not mean that if a person has not drunk the entire working week, then on the evening of Friday he needs to drink immediately 250-300 ml of alcohol.

Pay attention to the quality of alcohol and snacks. Because hard drink safety studies have been conducted in countries with a healthy culture of alcohol consumption. That is, where people do not just drink, but also have a good snack, take breaks between meals, do not devote their meals and the process of drinking all evening. In no case should you drink hypertensive patients who have not previously abused strong drinks and do not know the reaction of their body to them.

It is forbidden to drink alcohol as a prophylaxis of mythical diseases or supposedly for the treatment of pathologies of the cardiovascular system. Most patients in the cardiology department do not have a question “how not to finish it”, but there is a problem “how not to drink it up”. Therefore, alcoholism and hypertension are incompatible and not even standing next to each other.

Heart reaction to alcohol

What is the compatibility of hypertension and alcohol? As soon as a person drinks a glass of wine, he begins to feel the pleasant heat radiating through his body. Blood rushes to his face, the body relaxes, his health allegedly improves, it becomes easier after a hard day.

After 100 ml of wine in the human body, physiological changes are launched in the form of:

  • The cardiovascular system begins to work faster.
  • Blood circulation is accelerated, red blood cells (red blood cells) are rapidly destroyed.
  • Internal organs (including the heart and brain) experience oxygen starvation, as red blood cells are “unable” to bring oxygen and nutrients to them.
  • The process of the breakdown of red blood cells leads to the bonding of their particles together and the risk of thrombosis. In alcoholics, blood clots of various sizes form more often than other people.

One gram of alcohol-containing drinks that are ingested attracts 20 grams of water. As a result, alcohol completely nullifies the therapeutic effect of diuretics and antihypertensive drugs. These are the medicines that must be taken by every patient with grade 2 hypertension. The lack of treatment and its effectiveness increases the risk of hypertensive crisis and disability subsequently.

If a person will drink alcohol with hypertension on an ongoing basis, then the consequences of this process are appalling. The number of blood clots in the vessels will begin to increase, since the destruction of red blood cells can no longer be stopped. The risk of thrombosis of vital blood vessels and capillaries that feed the brain and heart muscle is increased. In hypertensive patients, an attack of myocardial infarction or stroke can occur at any second.

In addition, the toxic decay products of ethanol remain in the body for another 20 days after drinking. Harmful substances are deposited in the brain tissue, leading to irreversible consequences under the guise of strokes, disruptions of the central nervous system. Can I drink alcohol with hypertension? Definitely not.


If you regularly drink alcohol, after a year your blood pressure will increase by 6 mmHg. This is very dangerous for grade 1 hypertension, when pressure indicators vary from 140/90 mmHg and higher. Cardiologists strongly recommend that patients at the initial stage of development of arterial hypertension monitor their health. If you start treatment on time (take antihypertensive drugs, normalize your lifestyle, get rid of bad habits), then hypertension will not go from one stage to another.

Medical statistics indicate zero compatibility of alcohol and hypertension. Alcoholism in 99% of clinical cases leads to a pathological increase in blood pressure, myocardial infarction, stroke, cirrhosis and deterioration of overall health indicators.

Immediately after drinking alcohol, a person’s blood pressure decreases due to the fact that ethyl alcohol widens the lumen of blood vessels. The state of hypertension is temporarily improving. But, this phenomenon quickly passes and when the blood flow resumes, then the load on the heart increases several times (than before drinking).

Hypertensive patients are often not recommended to relax and “improve” their well-being with alcohol. 50-100 ml of red wine for a holiday, once a month, is allowed, but not more often.

Is it possible to soft drinks?

What alcohol can I drink with hypertension? If you drink non-alcoholic beer, will this somehow affect the work of the heart and blood pressure? Those who argue that drinks that do not contain ethanol or a small percentage of it are harmless are mistaken.

Non-alcoholic beer contains 0,5% ethanol. And this is the only difference between a drink and a regular foamy drink – their compositions are identical. Therefore, the benefits and harms of these products are no different.

If we compare non-alcoholic beer and red wine because of the harmfulness to the body, then it is more dangerous to drink the first product. Because it contains carbon dioxide, preservatives, cobalt (the mineral that forms beer foam), harmful flavoring. All this in aggregate affects not only the work of the cardiovascular system, but also the body as a whole. It turns out that after a glass of non-alcoholic hypertension, the digestive organs, liver, and urinary system are disrupted.

Beer contains phytoestrogens – substances identical to the female hormone. With prolonged use of a foamy drink in men, the production of testosterone (male hormone) decreases, metabolism is impaired, reproductive function is suppressed.

Hypertonic fools himself into thinking that soft drinks have less harm to the body – in fact, more.

We conclude that with hypertension, alcohol is not recommended. First, there is no safe dosage of ethyl-containing drinks. Few people can drink exactly 50 ml of red wine during the holidays, or rather no one. In hypertensive patients, after a glass of foamy drink, pressure drops sharply, and then it rises. Blood vessels lose their tone and elasticity, and the destroyed red blood cell cells stick together, forming blood clots. As a result, a person gets a myocardial infarction or stroke.

Secondly, there is no safe soft drink. For example, beer contains 0,5% ethanol, but surpasses red wine in terms of the harmfulness of the remaining components. In addition, alcohol and antihypertensive drugs are not compatible. Hypertensive patients are strictly forbidden to drink alcoholic beverages.

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Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.