Research

Mixed

Moderate alcohol consumption is associated with a lower risk of initial presentation for several cardiovascular diseases (myocardial infarction, heart failure, ischaemic stroke, peripheral arterial disease, abdominal aortic aneurysm) compared to abstinence, but heavy drinking increases the risk for most of these same conditions.

Moderate alcohol consumption is linked to a lower risk of some heart conditions compared to not drinking at all, but this benefit disappears and becomes harmful at heavy levels. Heavy drinking increases the risk of heart failure, stroke, and early death. The apparent benefit of moderate drinking is often overstated because studies that lump 'former drinkers' (who quit due to illness) with 'lifelong abstainers' make non-drinking look riskier than it is. For health, abstinence is a safe and valid choice; moderate drinking is not a prescribed treatment.

GoodQualifiesHIGH confidence
Non-drinking was associated with an increased risk of unstable angina... myocardial infarction... unheralded coronary death... heart failure... ischaemic stroke... peripheral arterial disease, and abdominal aortic aneurysm compared with moderate drinking... Heavy drinking... conferred an increased risk of presenting with unheralded coronary death... heart failure... cardiac arrest... transient ischaemic attack... ischaemic stroke... intracerebral haemorrhage, and peripheral arterial disease, but a lower risk of myocardial infarction or stable angina.
Steven Bell et al. · BMJ · 2017

Why this rating

Large population-based cohort (n=1.9M) with linked electronic health records, though observational design limits causal inference.

Source

Association between clinically recorded alcohol consumption and initial presentation of 12 cardiovascular diseases: population based cohort study using linked health records

Steven Bell et al. · BMJ · 2017

DOI 10.1136/bmj.j909

cohort · n=1937360Cited 335×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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