Drinking alcohol can have both acute and chronic effects on blood pressure. While low-dose alcohol (14g) within six hours does not affect blood pressure, medium-dose alcohol (14 to 28g) within six hours decreases systolic and diastolic blood pressure. However, high-dose alcohol (>30g) within six hours decreases systolic and diastolic blood pressure, but increases it after 13 hours.
According to the American Heart Association, men should not exceed two drinks per day, and women should not exceed one drink per day. Generally, one drink equals 12-ounce beer (5% alcohol), 8-ounce malt liquor (7% alcohol), 5-ounce glass of wine (12% alcohol), or 1.5 ounces of 80-proof liquor.
Characteristics | Values |
---|---|
--- | --- |
Number of drinks per day | 1 |
Systolic blood pressure increase | 1.25 mmHg |
Diastolic blood pressure increase | 1.14 mmHg |
Number of drinks per day | 2 |
Systolic blood pressure increase | 4.9 mmHg |
Diastolic blood pressure increase | 3.1 mmHg |
What You'll Learn
Alcohol and blood pressure
Drinking alcohol can have both acute and chronic effects on blood pressure. Even one alcoholic drink per day may be enough to increase blood pressure over time, with an increase in alcohol consumption leading to greater corresponding increases in blood pressure. The more alcohol you drink, the higher your blood pressure is likely to be.
The effects of alcohol on blood pressure depend on how much and how often you drink. Several studies have shown that low doses of alcohol (one drink) do not affect blood pressure in the short term. Binge drinking, however, can cause a temporary spike in blood pressure.
Alcohol can lower blood pressure in the short term, but this effect is almost always temporary. The blood pressure-lowering effect of alcohol is due to the release of several substances, such as nitric oxide, which cause blood vessels to widen, which lowers blood pressure. These blood pressure-lowering substances don't stick around for long, though—around 13 hours or so after the last drink, blood pressure can rise, especially if a large amount of alcohol was consumed.
Long-term, it's well-known that those who drink more heavily and regularly can develop chronic high blood pressure (hypertension). Moderate drinkers are twice as likely as non-drinkers to develop hypertension, and people with diabetes who drink heavily are three times as likely to develop high blood pressure.
The overall long-term effect of regular drinking is for blood pressure to gradually increase. This is because of alcohol's effects on several different parts of the body, including the nervous system, kidneys, and blood vessels. Alcohol raises blood pressure by:
- Causing the brain and nervous system to release fight-or-flight hormones like adrenaline, which raises blood pressure and heart rate.
- Increasing calcium levels, causing blood vessels to narrow and blood pressure to go up.
- Increasing aldosterone, a naturally occurring chemical that causes the body to hold on to more water, which raises blood pressure.
- Increasing renin-angiotensin-aldosterone levels, causing blood vessels to narrow and blood pressure to rise.
- Increasing cortisol, a stress hormone, which causes water retention and a rise in blood pressure.
- Affecting baroreceptors, sensors in blood vessels that increase blood pressure in response to regular alcohol use.
Yes. Limiting or quitting alcohol altogether is one of the best ways to safely lower your blood pressure over time. If you lower your alcohol intake from heavy to moderate, you can expect to lower your systolic blood pressure (the top number) by 5.5 mmHg, and your diastolic blood pressure (the bottom number) by 4 mmHg. If you quit altogether, you may be able to lower your blood pressure even more.
The American Heart Association recommends that women stick to no more than one drink per day and men stick to no more than two drinks per day. This guideline also applies if you have high blood pressure.
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Alcohol and hypertension
Hypertension, or high blood pressure, is a common health condition that affects up to 31% of the world's adult population. It is one of the most common preventable causes of hypertension, along with a high salt diet and smoking.
The effect of alcohol on blood pressure depends on how much and how often you drink. Several studies have shown that low doses of alcohol (one drink) do not affect blood pressure in the short term. However, binge drinking (five or more drinks for men and four or more drinks for women in two hours) can cause a temporary spike in blood pressure.
Alcohol can lower blood pressure in the short term, but this effect is temporary. This is due to the release of substances such as nitric oxide, which causes blood vessels to widen and lowers blood pressure. However, these substances do not remain in the body for long, and blood pressure can rise again around 13 hours after the last drink, especially if a large amount of alcohol was consumed.
Long-term, regular and heavy drinking can lead to chronic high blood pressure. Moderate drinkers (seven to 13 drinks per week) are twice as likely as non-drinkers to develop hypertension, and people with diabetes who drink heavily (more than 15 drinks per week) are three times as likely.
The overall long-term effect of regular drinking is for blood pressure to gradually increase. This is due to alcohol's effects on the nervous system, kidneys, and blood vessels, as well as the release of hormones such as adrenaline and cortisol. Alcohol also increases levels of calcium and aldosterone, which cause blood vessels to narrow and blood pressure to rise.
Will quitting alcohol lower blood pressure?
Yes, limiting or quitting alcohol is one of the best ways to lower blood pressure. If you lower your alcohol intake from heavy to moderate, you can expect to lower your systolic blood pressure by 5.5 mmHg and your diastolic blood pressure by 4 mmHg.
The American Heart Association recommends that women stick to no more than one drink per day and men to no more than two drinks per day. This guideline also applies if you have high blood pressure.
If you are already taking medications to treat high blood pressure, you should be mindful of your alcohol intake. Most blood pressure medications have the potential side effect of low blood pressure, which can result in dizziness, especially when going from a lying or sitting to a standing position. This side effect, combined with the low blood pressure and balance issues caused by alcohol, can put you at a higher risk of falls and accidents.
Some blood pressure medications, such as ACE inhibitors, ARBs, alpha blockers, and calcium channel blockers, have a higher risk of interacting dangerously with alcohol. If you take any of these medications, discuss with your healthcare provider whether and when it is safe to drink alcohol.
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Alcohol and heart health
Drinking alcohol can have a significant impact on heart health, and it is important to understand the effects of alcohol consumption on the body, especially for those with high blood pressure. While some studies suggest that moderate alcohol consumption may have potential health benefits, the evidence is mixed, and excessive alcohol intake is consistently linked to adverse cardiovascular events.
Alcohol's Impact on Blood Pressure
Alcohol can have both acute and chronic effects on blood pressure. Binge drinking, defined as consuming a large quantity of alcohol in a short period, can cause a temporary spike in blood pressure. However, in the long term, regular and heavy alcohol consumption is a significant risk factor for developing chronic high blood pressure or hypertension. This is due to alcohol's effects on various body systems and hormones, including the nervous system, kidneys, and blood vessels.
The brain and nervous system release stress hormones like adrenaline, which raises blood pressure and heart rate. Alcohol also increases calcium levels, causing blood vessels to narrow and blood pressure to rise. In addition, alcohol consumption can lead to water retention and increased levels of aldosterone, a hormone that causes blood vessels to narrow and blood pressure to rise.
Safe Amount of Alcohol Consumption
According to the American Heart Association, women should limit their alcohol intake to no more than one drink per day, while men should not exceed two drinks per day. This guideline also applies to individuals with high blood pressure. One drink is typically defined as:
- 12 ounces of regular beer
- 5 ounces of wine
- 1.5 ounces of 80-proof alcohol (a standard shot)
It is important to note that these guidelines may not apply to everyone, and certain medications, such as blood pressure medications, may interact with alcohol. Therefore, it is always best to consult a healthcare provider to determine a safe level of alcohol consumption for your specific situation.
Alcohol's Interaction with Blood Pressure Medications
Alcohol can also interact with blood pressure medications, leading to dangerous side effects. Most blood pressure medications carry the risk of low blood pressure (hypotension), which can result in dizziness, especially when transitioning from a sitting or lying position to standing. Combining alcohol with these medications can increase the risk of falls and accidents.
Additionally, certain classes of blood pressure medications, such as angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and alpha-blockers, have a higher risk of interacting with alcohol. It is crucial to discuss alcohol consumption with your healthcare provider if you are taking any blood pressure medications to ensure a safe and effective treatment plan.
Benefits of Reducing Alcohol Intake
Limiting or quitting alcohol is one of the most effective ways to lower blood pressure and improve overall health. Studies have shown that reducing alcohol intake can lead to significant improvements in blood pressure readings. Additionally, cutting back on alcohol can help with weight loss, improve diabetes management, and reduce the risk of other health complications associated with excessive alcohol consumption.
In conclusion, while some studies suggest potential health benefits of moderate alcohol consumption, the evidence is inconclusive, and excessive alcohol intake is consistently linked to adverse cardiovascular events. Therefore, it is essential to understand the effects of alcohol on the body and to consume alcohol in moderation or abstain entirely if necessary to maintain heart health and manage high blood pressure effectively.
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Alcohol and systolic blood pressure
Alcohol is a substance of abuse that can lead to more than 200 disorders, including hypertension. It can have a detrimental impact on the heart and blood vessels, and the amount and frequency of alcohol use appear to play the largest role in its effects.
Drinking too much alcohol can raise your blood pressure. The American Heart Association recommends no more than two drinks per day for men and one drink per day for women. Generally, one drink equals:
- 12-ounce beer (5% alcohol)
- 8-ounce malt liquor (7% alcohol)
- 5-ounce glass of wine (12% alcohol)
- 1.5 ounces of 80-proof liquor
Research has found that alcohol use causes temporary increases in systolic and diastolic blood pressure. Over time, this can increase the risk of chronic hypertension. Binge drinking and heavy drinking raise blood pressure, both in people with and without hypertension.
High-dose alcohol has a biphasic effect on blood pressure; it decreases blood pressure up to 12 hours after consumption and increases blood pressure after 13 hours.
Systolic blood pressure is the pressure in your arteries during the heart's muscle contractions. Diastolic blood pressure is the pressure in your arteries between contractions.
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Alcohol and diastolic blood pressure
Alcohol has both acute and chronic effects on blood pressure. A review of 32 randomised controlled trials found that alcohol has a biphasic effect on blood pressure; it decreases blood pressure up to 12 hours after consumption and increases blood pressure after 13 hours.
The review also found that the magnitude and direction of the effects of alcohol on blood pressure depend on the time after alcohol consumption.
The review included only short-term studies investigating the effects of alcohol on blood pressure and heart rate. It did not find any eligible studies that reported the effects of alcohol on women separately.
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Frequently asked questions
Drinking 2 beers a day may not lower blood pressure. In fact, it may increase blood pressure over time. The more alcohol you drink, the more your blood pressure may increase.
According to the American Heart Association, it is recommended that women should not have more than 1 drink per day and men should not have more than 2 drinks per day.
Yes, drinking alcohol regularly and in high amounts can lead to high blood pressure.