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J Am Coll Cardiol, 2007; 50:1009-1014, doi:10.1016/j.jacc.2007.04.089 (Published online 23 August 2007).
© 2007 by the American College of Cardiology Foundation
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Alcohol and Cardiovascular Health

The Razor-Sharp Double-Edged Sword

James H. O'Keefe, MD, FACC*,*, Kevin A. Bybee, MD* and Carl J. Lavie, MD, FACC{dagger}

* Mid America Heart Institute, University of Missouri, Kansas City, Missouri
{dagger} Ochsner Medical Center, New Orleans, Louisiana


Figure 1
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Figure 1 Alcohol and All-Cause Mortality

The relationship of daily alcohol consumption to the relative risk of all-cause mortality in men and women. Reproduced with permission from DiCastelnuovo et al. (2).

 

Figure 2
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Figure 2 Alcohol Intake and Risk of MI in Men Following a Healthy Lifestyle

Moderate alcohol intake (1 to 2 drinks per day) reduced the rate of myocardial infarction (MI) in this group of 8,867 middle-aged males already following healthy lifestyle recommendations (6).

 

Figure 3
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Figure 3 Alcohol and Stroke Risk

Relationship between daily alcohol and ischemic stroke. This was fully adjusted for the usual stroke factors. OR = odds ratio. Reproduced with permission from Sacco et al. (12).

 

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Figure 4 Alcohol and Coronary Calcium

The likelihood of having extensive coronary calcification on computerized tomography scanning was reduced in those who consumed 1 to 2 drinks daily. Data from Vliegenthart et al. (17).

 

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Figure 5 Wine With Meal Reduced Postprandial Glucose

In this group of type 2 diabetic patients, wine with the meal (solid circles), substantially reduced postprandial glucose for the subsequent 6 h compared with subjects who drank a wine placebo (open circles). Reproduced with permission from Greenfield et al. (22).

 

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Figure 6 Alcohol and CRP Levels

Alcohol was associated with a reduction in C-reactive protein (CRP), particularly at 5 to 7 drinks per week. Reproduced with permission from Albert et al. (31).

 

Figure 7
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Figure 7 Alcohol and Risk of Diabetes

Alcohol intake and incidence of new type 2 diabetes. Data from Koppes et al. (38).

 




 
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