Excessive alcohol consumption reduces nitric oxide production, impairing the vessels’ ability to relax and leading to increased vascular resistance. Alcohol influences blood pressure through several complex and interconnected pathways. When alcohol is consumed, it stimulates this system, leading to the release of stress hormones like adrenaline, which cause blood vessels to narrow (vasoconstriction). Long term alcohol use can lead to serious damage to the entire cardiovascular system. The heart muscle itself can become weakened due to excessive drinking over time. Untreated high blood pressure is a major risk factor for heart attack and stroke.
Shai 2015 published data only
This sustained high blood pressure, or hypertension, is a major risk factor for cardiovascular issues such as stroke, heart attack, and kidney disease. Low doses of alcohol, less than 14 grams in six hours, typically do not significantly alter blood pressure but can increase heart rate, which might pose issues for some individuals. Conversely, drinking larger quantities—more than 30 grams at once—initially causes a small decrease in blood pressure, but this effect is short-lived. Over time, and especially after the 13-hour mark, blood pressure often rises, contributing to the risk of long-term hypertension. Imbalance of specific endogenous vasoconstrictor such as angiotensin II, endothelin-1 and nor-epinephrine and vasodilator nitric oxide (NO) may also play an important role in alcohol-induced hypertension.
Vasopressin levels
To help navigate these occasions, we’ve sought advice from expert doctors on which types of alcohol you should avoid if you’re trying to protect your heart health. On average, a regular heart rate is about 60 to 100 beats per minute when your body is at rest. But alcohol can lead to your heart rate temporarily jumping up in speed, and if it goes over 100 beats per minute, it can cause a condition called tachycardia. Too many episodes of tachycardia could lead to more serious issues like heart failure or going into irregular rhythms, which https://ecosoberhouse.com/ can cause heart attack and stroke.
Healthy eating habits
We’ve unpacked how alcohol — despite its social ubiquity — plays a significant role in elevating blood pressure. From the immediate release of stress hormones like cortisol and adrenaline to long-term implications like hypertension, alcohol’s effects on our circulatory system are undeniable. It’s crucial to remember that while red wine and other alcoholic beverages may carry some antioxidants, their cardiovascular benefits are largely overstated, especially when weighed against their potential drawbacks.
Checking in with your heart
- This not only helps you lower your blood pressure (if you have hypertension), but also helps lower your risk of hypertension in the long run.
- Don’t wait— reach out today to take the first step toward taking control of your life.
- Our library of blogs provide simple explanations and actionable tips to empower you to take control of your health.
- In the intricate dance of our body’s systems, blood pressure occupies a pivotal role, serving as a critical indicator of our overall health.
- Avoiding binge drinking and maintaining alcohol-free days are vital strategies.
The dose of alcohol ranged between 0.35 mg/kg and 1.3 g/kg, and alcohol was consumed over five minutes and over one hour and 30 minutes. It is recommended that there should be at least 10 studies reporting each of the subgroups in question (Deeks 2011). Among the 34 included studies, only four studies included hypertensive participants. So, it was not possible to conduct a subgroup analysis based on blood pressure. For the planned subgroup analysis based on sex, no study reported male and female participant data separately. drug addiction The carry‐over effect in a cross‐over trial can confound the effects of subsequent treatment.

It can interfere with the effectiveness of blood pressure medications, reducing their ability to control hypertension effectively. Therefore, limiting alcohol intake—avoiding binge episodes and adhering to recommended guidelines—is vital for maintaining stable blood pressure and reducing cardiovascular risks. Moreover, alcohol affects physiological mechanisms regulating blood pressure. It can activate the sympathetic nervous system and raise levels of stress hormones such as cortisol and renin, further constricting blood vessels. Additionally, for some people, drinking alcohol may coincide with dehydration or not eating enough food — factors that can also lead to low blood pressure. Someone who drinks heavily on an empty stomach may experience a drop in blood pressure due to dehydration and reduced blood volume.
Brainin 2016 published data only
- When blood pressure, the force of blood flowing through your arteries, is consistently high, that ups your risk for heart attack, stroke and heart failure, as well as vision loss and kidney disease.
- Thus alcohol decreases blood pressure initially (up to 12 hours after ingestion) and increases blood pressure after that.
- Moderate‐certainty evidence shows that SBP and DBP rise between 13 and 24 hours after alcohol ingestion.
- After ≥ 13 hours of consumption, SBP and DBP were raised; the certainty of evidence was low and medium, respectively.
Although these trials included adults from 18 to 96 years of age with various health conditions, most study participants were young healthy males. Randomised controlled trials (RCTs) comparing effects of a single dose of alcohol versus placebo on blood pressure (BP) or heart rate (HR) in adults (≥ 18 years of age). Dr. Mathis also identifies the specific types of alcoholic beverages that are particularly problematic for individuals with high blood pressure.

Types of participants
There is likely a dose‐response effect of alcohol on BP, as the effects of alcohol appeared to last longer with higher doses. We intended to find out the dose‐dependent changes in SBP, DBP, mean arterial pressure (MAP), and HR after consumption of a single dose of alcohol. Because the numbers of included studies that fell into our pre‐specified dose categories were not comparable, we were unable to conduct a comprehensive dose‐dependent analysis.
However, it’s important to note that even moderate alcohol consumption can have an impact on blood pressure. The Centers for Disease Control and Prevention (CDC) recommends that men should limit their alcohol intake to no more than two standard drinks per day, while women should limit it to one standard drink per day. For anyone concerned about heart health, the question “Will alcohol raise blood pressure? High blood pressure, or hypertension, is a leading cause of heart attack, stroke, and other cardiovascular diseases, and the relationship between blood pressure and alcohol consumption is a key factor to consider. Whether you drink alcohol occasionally, regularly, or engage in binge drinking, understanding the impact of blood pressure alcohol levels is critical for your overall health.
We contacted the author of Rosito 1999 to request additional information regarding the method of blinding used. The study author explained the blinding method in detail in an email, so we classified this study as having low risk of bias. We used GRADEpro software why does alcohol raise blood pressure to construct a ‘Summary of findings’ table to compare outcomes including change in SBP and DBP and HR (GRADEpro 2014). In addition, we included illustrative risks to present findings for the most important outcome (change in systolic blood pressure). Studies have shown that a good percentage of people who drink alcohol also smoke, which can raise blood pressure as well.
