Is it possible to drink alcohol after a heart attack and stenting symptoms of alcoholic myocardial

Myocardial infarction and alcohol have been going side by side for many hundreds of years. And the mutation in the enzyme alcohol dehydrogenase, which allowed a person to break down ethanol, occurred back in those days when he learned to make fire and chased mammoths with a stone ax. The fact that our body contains endogenous alcohols suggests that drinking is not a critical factor.

Alcohol-containing substances affect the heart muscle as follows:

  • cause spasm of the muscular membrane of blood vessels;
  • increase the numbers of blood pressure;
  • increase heart rate;
  • contribute to the release of potassium from cardiomyocytes;
  • increase loss of magnesium;
  • potentiate free radical damage;
  • have a toxic effect on the processes of protein formation;
  • disrupt the coupled work between the processes of excitation and contraction.

These effects depend on the frequency and amount of alcohol consumed. Low and moderate doses, in turn, have completely unique effects. In one of the large clinical trials, a 37% reduction in the risk of myocardial infarction was observed with the use of ethanol-containing substances in an acceptable amount of 5-6 times a week.

Nevertheless, alcohol was not recognized as a mass prevention tool for CCC diseases, since its use is quite difficult to control. For example, in Russia, mortality from heart pathologies associated with the use of alcohol-containing substances is over 36%, and in people suffering from chronic alcoholism 50% or more. Sudden cardiac death occurs in 10% of such patients.

During my practice, I noted one important feature. Heart attack in alcoholics often occurs without pain. This is similar to a heart attack that occurs with diabetes. Long-abused people can feel the manifestations of the disease only after a few days. Symptoms of an alcoholic heart attack do not differ from the classic.

The first signs are:

  • burning, baking, pressing pains in the sternum;
  • irradiation of pain in the left shoulder blade, arm, shoulder, back, less often in the region of the lower jaw and the right half of the body;
  • shortness of breath, feeling of lack of air;
  • a sense of fear of death;
  • dizziness, severe weakness;
  • interruptions in the work of the heart (extrasystole, atrial fibrillation, AV block, etc.);
  • less commonly vomiting, impaired speech, vision, motor coordination, coughing and pallor of the skin.

Extensive alcoholic myocardial infarctions, accompanied by the death of more than 40% of the heart muscle, are manifested by signs of cardiogenic shock:

  • a pronounced drop in blood pressure;
  • signs of left ventricular failure (pulmonary edema);
  • decreased urine output (oliguria, anuria);
  • soporotic or coma.

Based on personal experience, I can say that the effect of alcohol on the development of a heart attack is ambiguous. With minimal use, I noticed a decrease in the frequency of cases, but it is much more common in people who drink regularly.

The general definition says that a heart attack is a necrosis of an organ due to a sudden lack of oxygen. The latter can occur due to the formation of a blood clot, vasospasm, embolism or organ overstrain with a lack of oxygen. Most often we are talking about myocardial infarction, after which the patient will have an active recovery.

Myocardial infarction is one of the forms of coronary heart disease, after which the heart lacks blood supply and oxygen, as a result of which necrosis of its tissues begins.

1vaama - Is it possible to drink alcohol after a heart attack and stenting symptoms of alcoholic myocardial

Externally, myocardial infarction is accompanied by severe pain in the chest, abdomen, throat, arms or back, which lasts more than 15 minutes. In some cases, pain may last up to an hour, or may be absent altogether if the patient suffers from diabetes. Sticky sweat often appears, breathing is difficult, shortness of breath and severe coughing occur. In severe cases, cardiac arrest may occur instantly.

Myocardial infarction is also divided according to the course of the reaction:

  • Monocyclic.
  • Protracted.
  • Recurrent: in a short period of time (3-8 days) several more foci of necrosis can form.
  • Repeated: one or more foci of necrosis occur in the period up to 28 days.

Myocardial infarction goes through 4 stages of development:

  • The first 2 hours is the most acute stage.
  • The next 5–7 days after a heart attack are an acute stage.
  • From 7 to 28 days – a subacute stage.
  • Starting from day 28, the scarring stage begins.

In some cases, patients who have had a heart attack can undergo stenting. This is an surgical intervention, during which the stent – frame is installed. It expands the walls of the affected vessel and allows blood and oxygen to pass to the heart. The idea of ​​the method was born 50 years ago, but only in the early 90’s was the stenting method recognized as effective.

The stent itself is a thin tube made of metal wire mesh. It is introduced into the affected vessel and purged, the diameter of the stent increases, and it is pressed into the walls of the vessel, pushing them apart. Stenting surgery is performed under local anesthetic. Through the vessel on the thigh or arm, a conductor is inserted into the body, to which a stent and a balloon are attached, which, when inflated, expands the stent with the vessel. If the affected area is long, several stents may be used.

Stenting has many advantages:

  1. The first place is taken by the simplicity and effectiveness of the operation. Since the vessel no longer threatens health, a person has the opportunity to quickly return to normal life.
  2. In contrast to a complex surgical operation, stenting is safe and bloodless, practically does not cause complications.
  3. The effectiveness of the method has led to its development and expansion of capabilities. If earlier in 20% of cases the vessel walls narrowed again, which required repeated intervention, now, thanks to the use of drug-eluting stents, the need for repeated operations has decreased to 5%.

The urgency of the intervention may be considered a certain minus of stenting: it is necessary to install a stent within the first hours after a heart attack, in the future it will no longer help.

However, stenting should not be the only solution. It is necessary to adhere to a healthy lifestyle and moderate physical activity in order to exclude recurrence of a heart attack.

1vaama - Is it possible to drink alcohol after a heart attack and stenting symptoms of alcoholic myocardial

Shortness of breath after a heart attack is a consequence of heart failure and may indicate the occurrence of complications after suffering a cardiovascular stroke. Myocardial infarction – the death of a part of the heart muscle as a result of a partial or complete cessation of its blood supply. The consequences of a heart attack can be acute and distant.

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Everyone knows that myocardial infarction is a very dangerous disease that comes first among all the causes of death on the planet. In addition, in recent years, a heart attack is rapidly “getting younger.”

Attacks of suffocation and shortness of breath accompany many pathological conditions in the post-infarction period, which are associated with excessive loads on the left ventricle of the heart and its insufficiency.

Dyspnea itself is not a disease, but only a symptom of the negative changes occurring in the body.

Typical manifestations of shortness of breath are:

  1. A feeling of lack of air, difficulty breathing when inhaling or exhaling.
  2. Rapid breathing, increased excursion of the chest (difference in volume when inhaling and exhaling).
  3. Extraneous sounds during breathing – wheezing, bubbling, whistling.

The load on the myocardium in heart failure after a heart attack increases as a result of:

  1. Heart rhythm disturbances.
  2. Arterial hypertension.
  3. Cardiosclerosis

Myocardial contractility decreases due to ischemia – insufficient blood supply to the heart due to narrowing of the lumen of the coronary arteries. Due to necrotation of the heart muscle and its scarring, the effectiveness of cardiac impulses is weakened.

Alcoholic heart attack – causes of the disease, stages and their symptoms

Withdrawal syndrome, more commonly known as alcoholic heart attack, is a pathological condition of the human body, which is caused by the effect of alcohol on certain vital organ systems and on the whole organism. Moreover, the syndrome encompasses not only semantic health, but also psychological health, which suggests that alcohol, by its influence, disrupts the human brain and loosens its nervous system.

Moreover, the development of the disease occurs with indiscriminate and systematic use of alcohol, and all the symptoms appear only when a person at least temporarily stops drinking alcohol.

2mavipi - Is it possible to drink alcohol after a heart attack and stenting symptoms of alcoholic myocardial

This feature of the disease is explained by the fact that ethanol, which is found in all alcoholic beverages, acts on the body as a toxic formation and causes poisoning of all systems. With the constant use of alcoholic beverages, the body gets used to the systematic intake of a toxic pathogen, which leads to addiction.

At the same time, damaged organs and tissues no longer have the ability to work without the next dose of poison. And if you refuse a dose of ethyl alcohol, the body does not want to function in the previous mode, which leads to an exacerbation of the syndrome and can cause a heart attack that will result in death for a person.

Symptoms depend on the stage of development of withdrawal symptoms. The first stage is diagnosed very hard, since the symptoms are blurred.

  1. Unstable temperature state of the body. A person feels that he is thrown into the heat, then the cold. Because of this, sweating increases, causeless drainage of the mucous membranes is also possible.
  2. Prostration. A person quickly gets tired of any type of activity, which is accompanied by increased drowsiness.
  3. Unstable work of the heart. It is accompanied by a violation of the heart rhythm, the development of tachycardia and angina pectoris.

The primary symptomatology of the syndrome is very similar to the course of a minor inflammatory process in the body, so it does not attract proper attention.

The second stage in this case will not be long in coming and will bring the following symptoms in addition to the primary symptoms:

  • low blood pressure;
  • poor appetite;
  • frequent dizziness and headaches;
  • impaired coordination, which is accompanied by disorientation in space and impaired gait;
  • frequent, and sometimes continuous redness of skin areas that are caused by blood flow to these areas under the influence of ethanol;
  • trembling hands;
  • nausea.
  1. The dream of a person who is more and more saturated with nightmare dreams is disturbed.
  2. A person is emotionally unstable. Possible causeless manifestations of anger, aggression. Also, a depressed state can manifest itself in a person, which is manifested by apathy and indifference to everything around.
  3. Hallucinations are possible.

The third stage is the most terrible, since all changes in the mental health of a person are accompanied by a disruption in the functioning of the whole organism.

The consequences of drinking alcohol after a heart attack and stenting

Ethanol acts on the heart and blood vessels in a rather simple mechanism. It penetrates the blood already after 3 – 5 minutes after drinking alcohol. Immediately after this, there is a sharp increase in heart rate, increased pressure and enhanced heart function. Ethanol is removed from the body within 5 – 7 hours, and if the dosage was more than prescribed, then this process is delayed by 1,5 – 2 days.

Alcohol abuse can result in:

  • increased load on the vessels and heart;
  • irregular blood pressure;
  • altered microbiological composition of the blood;
  • chest pains;
  • the occurrence of arrhythmias;
  • repeated heart attack or stroke.

A person who has had a heart attack does not need to completely exclude alcohol, especially if they were often present in his life before. Drinking moderate amounts of alcohol and not often is the key to its safe effect on the cardiovascular system. But the exact answer to the question is “Is alcohol possible after a heart attack?”

There are a number of factors that significantly increase the likelihood of having a heart attack even at a young age. These include:

  • infarktmiokardaistentirovaniechtoetotako CF8A2F2C - Is it possible to drink alcohol after a heart attack and stenting symptoms of alcoholic myocardialSmoking, alcoholism, obesity.
  • Age (the older the person, the more carefully he must monitor his health), gender (it is noted that men are more likely to have heart attacks).
  • Lack of sports.
  • Diabetes mellitus, arterial hypertension, rheumatic heart disease, elevated levels of “bad” cholesterol and low levels of “good”.
  • High triglycerides, transmission of staphylococcal or streptococcal infections.
  • Past myocardial infarction.
  • Congenital heart defect.

After a heart attack, doctors give a number of tips that allow you to quickly get back on your feet and restore health. These include:

  • Maintaining a healthy lifestyle, moderate physical activity, smoking cessation.
  • The need to adhere to a certain diet, the rejection of coffee, strong tea, fatty meat, excess salt.
  • Taking individually selected medications.

The advice should not be taken carelessly: the success of the rehabilitation and the likelihood of a second heart attack in most cases depend on the correct implementation of the requirements and compliance with the rules.

Some patients wonder if they can drink alcohol after a stroke, heart attack or stenting. And all due to the fact that in the modern world one of the main causes of death is coronary heart disease. Now death from a stroke or heart attack has become commonplace, and the age of people affected by this disease is getting younger and younger every year.

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Achievements of modern medicine can save many patients, but, unfortunately, after some time almost all of them again find themselves in a hospital bed. Such an unfavorable development of events can be avoided if you lead a healthy lifestyle and adhere to all the doctor’s recommendations.

According to statistics, a third of women and half of men have ischemic pathologies that can trigger the development of a heart attack. What is a heart attack? Myocardial infarction is an acute form of a heart attack in which it blocks the flow of blood to a specific area of ​​the heart. If such a violation lasts a long time, then a lack of nutrients and oxygen in the heart leads to the fact that cells begin to die.

An excellent solution after myocardial infarction is coronary stenting. It is an surgical intervention, during which a stand is installed in the form of a tube – a frame. It allows you to expand the affected walls of the vessel to a normal size and provide access to the heart of oxygen and blood.

Stroke is one of the first places in the world due to mortality and is the most dangerous cerebrovascular disease.

Another terrible disease of our time is considered a stroke. Signs of the disease: speech impairment, spasm of the facial muscles, impaired swallowing and motor function. A stroke occurs due to a clot in a blood vessel that feeds the brain, or due to rupture of the vessel wall and hemorrhage in the brain tissue.

Alcohol has a mixed effect on the cardiovascular system. In chronic alcoholism, it is the heart that first suffers. Alcohol directly affects the walls of blood vessels and myocardium. With alcoholism, signs of alcoholic myocardiopathy develop. And even small regular doses of alcohol can lead a person to hypertension.

Drinking alcohol leads to:

  • violation of heat regulation, which negatively affects the work of many body functions;
  • failure of vegetative regulation, which provokes the occurrence of neurosis and a general deterioration in the quality of human life;
  • a change in the volume of blood in the human body – a blood deficiency can lead to anemia, necrosis and impaired brain activity;
  • stiffness of the vascular wall, which can cause atherosclerosis.

With alcoholism, all of these factors can eventually lead to myocardial hypertrophy, heart failure, coronary heart disease and myocardial infarction. Discussions around the benefits and harms of alcohol are held regularly.

Some patients wonder if they can drink alcohol after a stroke, heart attack or stenting. And all due to the fact that in the modern world one of the main causes of death is coronary heart disease. Now death from a stroke or heart attack has become commonplace, and the age of people affected by this disease is getting younger and younger every year.

Achievements of modern medicine can save many patients, but, unfortunately, after some time almost all of them again find themselves in a hospital bed. Such an unfavorable development of events can be avoided if you lead a healthy lifestyle and adhere to all the doctor’s recommendations.

What is harmful and beneficial to alcohol?

It is no secret to anyone that chronic alcoholism leads to severe stresses on the cardiovascular system. The debatable point is how often, and how much alcohol is allowed to drink, so as not to harm health. On this account, doctors have still not been able to come to a consensus.

Some categorically forbid patients to drink, while others argue that a moderate amount of alcohol will not harm a person, but rather will benefit him. The opinions of medical workers are divided due to the ambiguous effect of ethyl alcohol on the human body.

Consider the beneficial effects of alcohol on the body:

  1. If alcohol is consumed in moderate doses, then an antiplatelet effect occurs, due to which the lipid composition of the blood returns to normal. Red wine is most effective in this case, since in its composition, in addition to alcohol, it has a large amount of antioxidants, a disperser, polyphenol, catechin and other substances.
  2. A small amount of alcohol dilutes the blood, which prevents the formation of blood clots.
  3. Due to the intake of ethanol, the amount of dense lipoproteins increases, which prevents atherosclerosis from developing.

You should also consider what harm alcohol can do to the human body:

  1. If you systematically take alcohol, then it negatively affects the pancreas that produces insulin, so the likelihood of diabetes is increased.
  2. Even a small amount of alcohol consumed is accompanied by an acute deficiency of fluid in the body, because of which a person wakes up in the morning from intense thirst. Due to this, the blood becomes viscous, which negatively affects the circulatory system.
  3. Ethanol exposure negatively affects the heart muscle and vascular walls. A long drinker runs the risk of experiencing alcoholic myocardiopathy.
  4. Alcohol in large doses strongly poison the body. Accumulated toxins disrupt vegetative regulation, stiffness of the walls of blood vessels, change the amount of blood in the circulatory system, expand peripheral vessels. Such phenomena are dangerous by the occurrence of hypertrophy of the heart muscle.

For some time, the body is able to compensate for the pathological condition, but its reserves are not unlimited, and soon they are depleted. Due to this, a person can face heart failure.

A hypertrophic myocardium requires a large amount of blood, this reloads the arteries, which are unable to cope with such a load that is fraught with coronary heart disease or repeated heart attack.

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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.