Divergent effect of acute and chronic alcohol on arterial stiffness

被引:70
作者
Mahmud, A
Feely, J [1 ]
机构
[1] St James Hosp, Trinity Ctr Hlth Sci, Dept Pharmacol & Therapeut, Hypertens Cli, Dublin 8, Ireland
[2] Trinity Coll Dublin, Dept Pharmacol & Therapeut, Dublin, Ireland
关键词
alcohol; blood pressure; arterial stiffness;
D O I
10.1016/S0895-7061(01)02315-9
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
To study the effects of alcohol on large artery function we measured arterial wave reflection in the aorta as augmentation index (AI%) by applanation tonometry in 324 subjects (18 to 86 years, 223 male). In eight subjects, when ingested acutely, red wine containing alcohol (0.8 g/kg), but not dealcoholized wine, reduced (P < .01) blood pressure (BP), pulse wave velocity, and AI%. Men with an excessive alcohol consumption (>21 units/week) had a higher AI% (12 +/- 2 v 5 +/- 2, P < .05) and BP, particularly aortic systolic, than did those with a lesser intake. This study suggests that alcohol when ingested acutely may reduce arterial stiffness, although alcohol when ingested chronically, in excess, increases it. Am J Hypertens 2002:15:240-243 (C) 2002 American Journal of Hypertension, Ltd.
引用
收藏
页码:240 / 243
页数:4
相关论文
共 15 条
[1]   Beneficial vs. detrimental actions of ethanol on heart and coronary vascular muscle: Roles of Mg2+ and Ca2+ [J].
Altura, BM ;
Zou, LY ;
Altura, BT ;
Jelicks, L ;
Wittenberg, BA ;
Gupta, RK .
ALCOHOL, 1996, 13 (05) :499-513
[2]   Lifestyle and hypertension [J].
Beilin, LJ ;
Puddey, IB ;
Burke, V .
AMERICAN JOURNAL OF HYPERTENSION, 1999, 12 (09) :934-945
[3]   A high-fat diet induces and red wine counteracts endothelial dysfunction in human volunteers [J].
Cuevas, AM ;
Guasch, V ;
Castillo, O ;
Irribarra, V ;
Mizon, C ;
San Martin, A ;
Strobel, P ;
Perez, D ;
Germain, AM ;
Leighton, F .
LIPIDS, 2000, 35 (02) :143-148
[4]   Alcohol, wine, and health [J].
de Lorimier, AA .
AMERICAN JOURNAL OF SURGERY, 2000, 180 (05) :357-361
[5]  
Guerin AP, 2001, CIRCULATION, V103, P987
[6]   ACUTE DEPRESSOR EFFECT OF ALCOHOL IN PATIENTS WITH ESSENTIAL-HYPERTENSION [J].
KAWANO, Y ;
ABE, H ;
KOJIMA, S ;
ASHIDA, T ;
YOSHIDA, K ;
IMANISHI, M ;
YOSHIMI, H ;
KIMURA, G ;
KURAMOCHI, M ;
OMAE, T .
HYPERTENSION, 1992, 20 (02) :219-226
[7]   Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients [J].
Laurent, S ;
Boutouyrie, P ;
Asmar, R ;
Gautier, I ;
Laloux, B ;
Guize, L ;
Ducimetiere, P ;
Benetos, A .
HYPERTENSION, 2001, 37 (05) :1236-1241
[8]   Favourable effects on arterial wave reflection and pulse pressure amplification of adding angiotensin II receptor blockade in resistant hypertension [J].
Mahmud, A ;
Feely, J .
JOURNAL OF HUMAN HYPERTENSION, 2000, 14 (09) :541-546
[9]   Acute effect of caffeine on arterial stiffness and aortic pressure waveform [J].
Mahmud, A ;
Feely, J .
HYPERTENSION, 2001, 38 (02) :227-231
[10]   ALCOHOL AND BLOOD-PRESSURE - THE INTERSALT STUDY [J].
MARMOT, MG ;
ELLIOTT, P ;
SHIPLEY, MJ ;
DYER, AR ;
UESHIMA, H ;
BEEVERS, DG ;
STAMLER, R ;
KESTELOOT, H ;
ROSE, G ;
STAMLER, J .
BRITISH MEDICAL JOURNAL, 1994, 308 (6939) :1263-1267