Alcohol and the risk of myocardial infarction |
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Authors: | Markus Flesch Stephan Rosenkranz Erland Erdmann Michael Böhm |
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Affiliation: | Klinik III für Innere Medizin der Universit?t zu K?ln, Joseph-Stelzmann-Str. 9, 50924 K?ln, Germany, E-mail: markus.flesch@medizin.uni-koeln.de, DE
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Abstract: | Epidemiological studies have repeatedly demonstrated a beneficial effect of moderate alcohol consumption on the incidence of coronary heart disease, myocardial infarction and overall mortality. The latter increases with excessive alcohol consumption. Although most epidemiological studies demonstrate a beneficial effect of alcohol consumption independent from the specific kind of alcoholic beverage, there is increasing evidence that wine and in particular red wine might contain pharmacological substances, which prevent atherosclerosis and myocardial infarction independent from the wine ethanol. Pathophysiological mechanisms mediating these beneficial effects include effects of wine phenols and tannins on LDL-cholesterol oxidation status, thrombocyte aggregation, endothelial function and smooth muscle cell proliferation. Identification and characterization of the pharmacologically active substances might provide the stage for the development of new substances to be used in the prevention of coronary artery disease and myocardial infarction. Received: 14 August 2000, Returned for 1. revision: 6 September 2000, 1. Revision received: 23 November 2000, Returned for 2. revision: 5 December 2000, 2. Revision received: 21 December 2000, Accepted: 8 January 2001 |
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Keywords: | Alcohol – wine – coronary artery disease – myocardial infarction – platelet function – cholesterol |
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