After a heart attack, a person’s life changes dramatically, this is due to many restrictions that the disease imposes. Thus, the patient is forced to reconsider his lifestyle and change his old habits. The arteries of the heart itself. This process leads to the cessation of complete blood supply to the area of ​​this important organ, and also leaves it without oxygen. “Hunger” after 30 minutes leads to cell death.

It is important to maintain a healthy lifestyle after a heart attack.

Medical statistics show that over the past few decades there has been a rejuvenation of the disease. Therefore, doctors are not surprised when this insidious disease overtakes people under the age of 30. Women under 50 are believed to be less likely to have a heart attack. Scientists explain this by the fact that the vessels of female representatives are protected from atherosclerosis, which is often the cause of a heart attack, by estrogens. But after the onset of menopause, an illness may unexpectedly develop. It is not known exactly how long people live after a heart attack, but the average is from 1 to 20 years. Basically, life expectancy after myocardial infarction depends on the patient himself, namely on his lifestyle. The attending doctor will give specific recommendations on how to live after a myocardial infarction; the article contains the most basic rules.

Life "after"

Often people who have suffered from this condition are concerned about many questions. So, many people are interested in:

  1. Is it possible to install mustard plasters? According to doctors, this procedure has certain limitations. They should not be used by pregnant women, breastfeeding women, or those with tuberculosis, cancer, or skin damage. Also remedy It is forbidden to place mustard in the area of ​​the heart, feet, or palms. Before using them, it is better to consult with your doctor.
  2. Is it possible to drive a car after a myocardial infarction? Many people cannot imagine their life without a car. Experts admit that it is possible to get behind the wheel only if the trip is short and the distance is not too long.

It is also important for the driver to remember that getting behind the wheel is still dangerous, since a heart attack can happen again. And if this condition suddenly overtakes a person while driving, something irreparable can happen. That is why it is unsafe for a person who has had a heart attack to drive; it can threaten the lives of him and his passengers.


For these reasons, a ban is imposed on working as a driver, since due to the ability to drive a vehicle only up to 1 - 1.5 hours a day, a person is considered not fully able to work.

  1. Is it possible to have sex after a heart attack? Medical workers do not prohibit intimacy, but on the contrary, they advise, since positive emotions arise from this contact. It is noted that problems may appear afterwards - decreased desire, sexual weakness. The reasons may lie in the intake of certain medicines prescribed after discharge. Against the backdrop of problems, men are at risk of developing hypochondriacal syndrome, which will only worsen the situation. Worries are in vain, because after a while everything will return to normal.
  2. Is it possible to smoke after a heart attack? The smoker's relatives, given his reluctance to quit this addiction, should help him in this matter. The fact is that a smoker is more susceptible to a second heart attack. This is explained by the fact that vascular spasm occurs during smoking.
  3. Is it possible to use air services after a heart attack? Basically, if the patient has undergone rehabilitation, his heart muscle works without deviations, and enough time has passed since the illness, he can fly on an airplane. But before that, it is better to consult with your doctor and undergo an examination, get a prescription for medications that will make air travel easier. According to experts, a person who has been diagnosed with heart failure that cannot be corrected with medications should not fly by air. There is also no need to fly by plane for people with arrhythmia, persistent arterial hypertension, or unstable angina.


If the patient decides to go to the sea, he needs to remember what he can do on vacation. You need to figure out what to do during your vacation. Doctors allow swimming, but only near the shore; you cannot dive, sunbathe or be under the open scorching sun. The trip itself should be planned no earlier than six months later. Also, while on vacation, the patient may be concerned about whether it is possible to drink alcoholic beverages. All doctors agree that life after a heart attack and stenting involves a complete abstinence from alcohol. If a person who has had an attack drinks alcohol much faster, it can lead to a second heart attack. It is also not recommended to drink kvass and coffee for the same reason. The disease also affects your career. So, after an incident as a result of pathological changes, many people will be forced to change their profession. This mainly applies to people who are faced with physical stress, and working under such conditions is now prohibited.

Sport

The heart needs constant training, which is why an active lifestyle after a heart attack is so important. The patient will be asked to perform moderate physical activity while still in the hospital. First, the patient should start exercise therapy; thanks to these exercises, the heart will be strengthened, blood circulation will be normalized, and cholesterol levels will decrease. People who have had an attack need to engage in dynamic sports.


Cycling, skiing, walking, running are suitable. Outdoor sports are the most effective. Exercise wisely, do not sharply increase the load and monitor your pulse. If a patient is diagnosed with a heart attack, he should not deal with strength training, because similar species sports strain the heart muscle and increase blood pressure, which can result in complications. It is allowed to perform exercises with weights, for women up to 5 kg, for men up to 20 kg. If shortness of breath, dizziness, or pain in the heart area appear during training, you should stop exercising.

Nutrition

Plays an important role after an attack. The patient needs to eat a balanced, varied diet every day. Surely, even in the hospital, the victim was informed that he should not eat foods rich in cholesterol. This is due to the fact that mainly ischemic heart disease caused by high level cholesterol. Fried and smoked foods, which contribute to the development of atherosclerosis, are prohibited. Adding the following products to the menu will help eliminate the risk of a recurrent attack:

  • whole grain bread, cereals;
  • fruits up to 200 grams per day (banana, kiwi, pear, melon, apple, orange, plum);
  • legumes up to 400 grams per day;
  • lean meat and fish in moderation, seafood;
  • milk and fermented milk products, but only low-fat;
  • chicken protein and yolk weekly up to three times;
  • vegetable and olive oil.

It is important to limit the consumption of salt and chocolate. And to support the normal functioning of the heart muscle, add raisins, prunes, and dried apricots to your diet.

Remember that life does not end after a heart attack, and it is in your power to make it full and rich.

Some patients wonder whether they can drink alcohol after a stroke, heart attack or stenting. And all because in modern world One of the main causes of death is coronary heart disease. Death from a stroke or heart attack has now become commonplace, and the age of people susceptible to this disease is getting younger and younger every year. Achievements modern medicine make it possible to save many patients, but, unfortunately, after some time, almost all of them end up back in a hospital bed. Such unfavorable developments can be avoided if healthy image life and follow all doctor’s recommendations.

Terrible diseases of our time

According to statistics, a third of women and half of men have ischemic pathologies that can trigger the development of a heart attack.


What is a heart attack? Myocardial infarction is an acute form of heart attack in which blood flow to a specific area of ​​the heart is blocked. If such violation continues long time, then the lack of nutrients and oxygen in the heart leads to the fact that cells begin to die. Signs of a heart attack: strong pain in the area of ​​the heart, radiating to the arm, neck, shoulder. The worst thing is that a heart attack provokes the development of severe complications.

An excellent solution after a myocardial infarction is coronary stenting. It is a surgical intervention during which a stand in the form of a tube is installed - a frame. It allows you to expand the affected vessel walls to normal size and provide access to the heart of oxygen and blood. The stenting method is considered very simple and effective. It is bloodless, safe and does not cause complications. The only drawback of this method is its urgency. If the operation is not performed in the first hours of a heart attack, then in the future it will no longer be of any use.

Stroke is one of the leading causes of mortality in the world and is the most dangerous cerebrovascular disease.

Another terrible disease of our time is stroke. Signs of the disease: speech impairment, spasm of the facial muscles, impaired swallowing and motor function. A stroke occurs due to blockage of a blood vessel supplying the brain by a blood clot, or due to a rupture of the vessel wall and hemorrhage into the brain tissue. Because of this, part of the brain dies, and the person’s functions for which this area is responsible (speech, vision, movement, etc.) are disrupted.

The effect of alcohol on blood vessels and the heart


Alcohol has mixed effects on the cardiovascular system. In chronic alcoholism, it is the heart that suffers first. Alcohol directly affects the walls of blood vessels and the myocardium. With alcoholism, signs of alcoholic myocardiopathy develop. And even small regular doses of alcohol can lead a person to hypertension.

Drinking alcohol leads to:

  • disruption of thermoregulation, which negatively affects the functioning of many body functions;
  • failure of autonomic regulation, which provokes the occurrence of neuroses and a general deterioration in a person’s quality of life;
  • changes in blood volume in the human body - blood deficiency can lead to anemia, necrosis and impaired brain activity;
  • rigidity of the vascular wall, which can cause atherosclerosis.

With alcoholism, all of these factors can eventually lead to myocardial hypertrophy, heart failure, coronary heart disease and myocardial infarction. Discussions around the benefits and harms of alcohol take place regularly.


Opinions Arguments of experts
Benefit Some experts argue that drinking alcohol in small quantities is possible and even necessary. They attribute this to the fact that small doses of alcohol normalize the lipid composition of the blood, reduce its viscosity and have an antiplatelet effect. In addition, alcohol prevents the development of atherosclerosis by increasing the formation of high-density lipoproteins. Red wine is considered the most effective, containing not only alcohol, but also antioxidants, polyphenols, catechins and resveratrols, which have a positive effect on the blood.
Harm But other doctors competent in this area believe that even moderate doses of alcohol are just as harmful as excessive consumption. But if we approach the discussion from the other side, alcohol has a negative effect on the pancreas, as a result of which insulin production is disrupted and the risk of developing diabetes increases. And this, in turn, is a risk factor for developing a stroke or heart attack.

Even a slight excess of the dose of alcohol increases blood viscosity, which means that the likelihood of blood vessel thrombosis increases significantly.

Drinking alcohol after stroke and heart attack

Many studies have been conducted by specialists to answer the question of whether it is possible to drink alcohol after a heart attack and coronary stenting. The most large-scale study of the last century involved representatives of the stronger half of humanity who had suffered a myocardial infarction and stenting surgery. The best result was shown by a group of men who had the right to drink alcohol regularly, but in small doses. In men who do not drink at all, the risk of another heart attack in the next 4 years is 32% higher than in those who drink little but regularly.

In America, a study was also conducted in which 7,500 men participated after a heart attack and stenting. The highest mortality rate was observed among those who had previously consumed alcohol and, after suffering from an illness, completely abandoned it. Signs of withdrawal syndrome are very difficult to tolerate for an already weakened body. Moderate alcohol consumption has a beneficial effect on the blood and makes coronary stenting surgery as effective as possible. Patients who do not drink at all often have to undergo stenting surgery again.

More controversial is the timing of drinking alcohol after a stroke. If during a stroke there is a rupture of the walls of the vessel, then it is important to completely avoid alcoholic drinks (even beer). If the stroke occurs due to a blood clot, then small doses of alcohol will help prevent thrombosis and atherosclerosis. Although it cannot be ruled out that the first stroke occurred from alcohol. Then you should radically reconsider your lifestyle. Otherwise, the consequences of a subsequent stroke may become irreversible.


You can drink alcohol after a stroke, heart attack or stenting, and in some cases you even need to, but in small doses. Sometimes a mug of beer, a glass of wine or a glass of vodka is allowed. Under no circumstances should you drink too much at one time. It is optimal to drink alcohol on holidays in limited quantities.

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Features of myocardial infarction

Myocardial infarction is an acute form of coronary heart disease. As a result of atherosclerosis, when cholesterol and fat are deposited on the walls of blood vessels, plaques are formed. The vessels lose their elasticity, the lumen narrows and blood flow is disrupted, as a result the heart receives less oxygen and nutrients.

If blood does not enter the heart muscle within several minutes due to a blood clot formed at the site of damage to the vessel, then part of the heart muscle begins to die. This is myocardial infarction.

One of the reasons for the development of a heart attack is alcohol abuse. Since myocardial infarction is a serious and dangerous disease, then drinking alcoholic beverages in large quantities increases the risk of morbidity.

arise psychological problems and there may also be harm internal organs. With a hangover, dehydration occurs, which leads to increased blood clotting and an increased risk of blood clot formation.

Risk of myocardial infarction

Sometimes a heart attack occurs in a bathhouse after drinking alcohol in large doses. At high temperature, excessive sweating can cause blood clots in vessels that do not have plaques.

Myocardial infarction often ends in death, although the achievements of modern medicine make it possible to save many patients with timely treatment. But it happens that after a while they again end up in the hospital with heart attacks. To reduce the risk of negative manifestations, the patient needs to change his life, adhere to the recommendations of the treating cardiologist, follow a special diet and lead a healthy lifestyle.

Drinking alcohol in moderation

As for drinking alcohol in moderation after a heart attack, its effect on the cardiovascular system is ambiguous, because ethyl alcohol has different effects on a person’s blood. Its positive point is that small doses have an antiplatelet effect and normalize the lipid composition of the blood. This is most pronounced in red wine, since in addition to alcohol it contains other substances that affect the blood.


These are antioxidants, resveratropes, cahetins, polyphenols and others. If you drink alcohol in small quantities, it reduces the viscosity of the blood and reduces its coagulability, which prevents the formation of blood clots.

Alcohol promotes the formation of high-density lipoproteins, which complicate the development of atherosclerosis. A small amount of alcohol has a positive effect. Alcohol in an amount of 10 to 30 grams reduces the possibility of blood clots and blockage of blood vessels. Women need to reduce the dose by half.

Experiment on alcohol consumption after a heart attack

According to the results of studies conducted by American specialists, men who drank alcohol in small portions after a myocardial infarction were less likely to suffer from cardiovascular diseases or die from them than those who did not drink at all.

The research group included men of different ages who have had a heart attack. During the experiment, the following data were taken into account:

  • patient weight;
  • diet feature;
  • How active is your lifestyle?
  • physical exercise;
  • his well-being;
  • what quantity and type of alcohol does he consume per day?

The experiment participants were divided into 4 groups: absolutely non-drinkers; light drinkers, not exceeding a dose of 10 grams; drinkers in moderation, no more than 30 grams per day; drinking more than 30 grams per day. The result was that those men who drank no more than 30 grams per day had a greater chance of not dying from cardiovascular disease than those who did not drink at all. The type of alcoholic beverages did not matter.

The studies carried out showed only a general picture. Therefore, before drinking alcohol after a myocardial infarction, you should definitely talk to your doctor.

The general health of the patient and his individual characteristics are different in each individual case, so the consequences can also be different. They depend on the location of the myocardial lesion and the time during which medical care was provided. The patient may also have concomitant diseases that are incompatible with alcohol. In such cases, alcoholic drinks should be strictly prohibited.

The effects of alcohol on the body

The term “alcohol” means expensive, high-quality alcohol. This is especially true for dry red wine. Cheap alcoholic drinks, cocktails provide Negative influence on the human body due to the harmful ingredients they contain.

We must not forget about how much alcohol you can drink. Even one-time increased consumption can nullify the positive result. And one caveat: about drinking alcohol in moderation, you should consult your doctor to determine the compatibility of taking medications with alcohol.


But there is another point. Alcohol, having a negative effect on the pancreas, increases blood sugar and increases the risk of pathologies such as diabetes. It should be noted that alcohol affects the myocardium and vascular walls, so if a person drinks alcohol excessively, this leads to alcoholic myocardiopathy.

What causes a heart attack

The development of this pathology is facilitated by such circumstances as a violation of autonomic regulation; inelasticity of the vascular wall; dilatation of peripheral vessels; decrease in blood flow volume.

As a result, signs of myocardial growth appear, which leads to heart failure. Enlargement of the myocardium leads to greater consumption of nutrition through the bloodstream, and the coronary arteries cannot cope with the load, resulting in coronary heart disease and myocardial infarction.

The issue of alcohol after a heart attack is not resolved by a categorical ban, as was the case before. It is now believed that moderate consumption of high-quality alcoholic beverages during the holidays will not cause harm and will reduce the risk of a heart attack.

Alcohol consumed in large quantities after a heart attack leads to an increased risk of mortality.


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Are alcohol and heart attack compatible?

It is believed that it is better not to drink alcohol at all after a heart attack. There is a sound grain in such reasoning, because the drink provokes vasoconstriction during decay and poisons the body, which increases the load on the diseased heart. But in small quantities, wine and other alcohol-containing drinks have a positive effect on the body.

A person who has had a heart attack can drink 2 glasses of wine or a glass of cognac/vodka per day. But you should not abuse this. You cannot drink more alcohol in the hope that your blood vessels will dilate and your heart will work better. Ethanol enters the body with drinks. At a concentration of more than 30 grams, it causes poisoning. As a result, not only does the well-known fume form, but also the veins and capillaries narrow. Against this background, the patient develops arrhythmia. Among the disadvantages of drinking alcohol for people with heart disease are:

  • poor heart function;
  • hypertension mutating into a chronic form;
  • increased load on blood vessels;
  • changes in the composition and quality of blood.

For this reason, you cannot increase the dose of ethanol in the blood. Women, despite the fact that they are more resistant to various cardiac anomalies, are recommended to drink no more than 1 glass of wine per day or half a glass of cognac. This is due to the fact that the body of the weaker sex has a harder time coping with ethanol.

By the way, doctors give similar advice to people who have had a stroke. The effect of alcohol on the brain and blood vessels has not been fully studied, so it is better not to drink alcohol until cognitive functions are restored. Next, doctors advise monitoring your condition. If, when alcohol enters the body, a person’s blood pressure rises or he becomes ill, then he should abstain from such drinks altogether.

What do the researchers say?

Recent American studies say that men who drink alcohol at least once a week are less likely to die from a second heart attack or any other cardiovascular disease. The study involved 2000 people different nationalities and ages. After completing the research, scientists came to an interesting conclusion. The risk of death in drinking patients decreased by 14%, and the risk of re-encountering cardiovascular diseases decreased by 42%.

According to experts, the results obtained cannot be considered unambiguous. With regular consumption of alcohol, the risk of developing diseases decreases; this is true only for those people who can tolerate ethanol normally. In other cases, alcoholic drinks can lead to the following consequences:

  1. Serious damage to the heart muscle, which can provoke a second attack and lead to death.
  2. An increase in the volume of the heart, which negatively affects the functioning of the entire system.
  3. Development of hypertension or ischemic disease. It is possible that both diseases manifest themselves in a person at the same time.
  4. Various heart rhythm disturbances.

Another study conducted in America shows that by consuming ethanol in amounts of less than 30 g, patients increase their chances of living a long life. The study involved men who not only had a heart attack, but also those who successfully underwent rehabilitation after stenting. Exceeding the described dose, on the contrary, increased the risk of repeatedly ending up in the clinic.

Another remarkable fact was noticed during the research process. In older people, blood pressure increases much faster as a result of alcohol entering the bloodstream than in middle-aged people. The information obtained during the study does not contradict the data that the European Society of Cardiology is guided by. They believe that 30 g of ethanol is a harmless dose for any person. Please note that the given dose of ethanol is not normal for women who have had a heart attack. When calculating the “useful” amount of alcohol, it must be reduced by 1.5-2 times.

But as noted earlier, the individual characteristics of the human body play an important role in all this. If you feel bad after one sip of wine, then you should not try to force yourself to drink two whole glasses. If the body reacts negatively, you must completely stop drinking alcohol. This way you will save your life. In addition to drinking alcohol, there are other ways to support the body after a heart attack. These include sports, balanced diet, various practices.

cardioplanet.ru

Research into the effects of alcohol on the cardiovascular system

Two thousand patients took part in this serious study. The results were surprising. It turns out that those who, after a heart attack, sometimes allowed themselves to relax by consuming large quantity alcohol, were less susceptible to various diseases, including cardiovascular diseases. It is important to note that the average permitted amount of alcohol should not exceed 29 g per day. Quitting alcohol completely can cause even more harm.

How does alcohol in large quantities affect the heart and blood vessels:

  • the main muscle is damaged, which explains the high mortality rate;
  • the risk of developing alcoholic cardiomyopathy increases;
  • heart rhythm is lost;
  • the incidence of hypertension increases, and then a heart attack may develop.

The experiment was carried out over more than 20 years, there were enough patients in the database, so we can judge the veracity of this study. During this impressive period of time, out of two thousand subjects, only 418 people died. It is worth taking age into account.

The following parameters were indicated in each patient’s card:

  • correspondence of body weight and height;
  • diet;
  • ongoing training or health procedures;
  • lifestyle in general;
  • complaints and well-being;
  • alcoholic drinks that were consumed and their quantity.

According to the listed parameters, the subjects were divided into four groups:

  1. Those who don't drink alcohol at all.
  2. From 0.1 to 10 g of ethanol per day.
  3. From 10 to 30 g of ethanol per day.
  4. More than 30 g of ethanol per day.

Regardless of the type of alcohol consumed, patients in the third group were less susceptible to various heart diseases than the first.

If we talk about the fourth group, then it was equated to the first. The incidence and mortality rates were the same here. Therefore, a separate conversation is necessary with patients who drink alcohol before a heart attack, since if you completely give up alcohol, you can cause even more harm to the body.

Alcoholic drinks after myocardial infarction

From the above, it is clear that completely abstaining from alcohol after a heart attack can have a bad effect on your health. Small doses of alcohol can dilate blood vessels and restore blood circulation. But a large percentage of doctors still adhere to the old opinions. They strictly prohibit their patients from drinking alcohol.

But if before a heart attack a person sometimes allowed himself to relax, the body will not understand such a prohibition and will respond with various pathologies.

The cardiovascular system is primarily affected. You can’t rush headlong into the pool, but a small dose of alcohol won’t hurt.

Although there are a number of contraindications in some cases:

  • horse racing blood pressure;
  • frequent interruptions in the functioning of the heart muscle;
  • changing blood composition;

It is these aspects that do not allow exceeding the permitted dose of ethanol of 30 g. Abuse can lead to a tragic outcome.

Since the study involved mostly men, things were different for women. How much alcohol are they allowed to drink per day? This figure ranges from 5 to 15 g. But in difficult situations consultation with a doctor is required. In addition to cardiovascular pathologies, there are a number of other diseases for which alcohol is strictly prohibited. Every patient should know about this.

Medical research has repeatedly proven the negative effects of alcohol on human health. Therefore, you should take fortified drinks with extreme caution, especially in patients with coronary artery disease and those who have already had a myocardial infarction. All decisions related to alcohol consumption must be agreed upon with the attending physician. Doctors know best about possible consequences with myocardial infarction and addiction to alcohol.

Alcoholic heart attack is a concept that includes a complex of pathologies, the development of which is associated with excessive alcohol consumption and its harmful effects on the body. This process in medicine is usually called withdrawal syndrome. A person is susceptible to this condition when he is heavily addicted to strong drinks.

The most pronounced symptoms become as ethanol stops entering the body. This is due to the toxic effects of this substance, due to which the drinker faces disruption of the functioning of vital systems and organs.

The situation is aggravated by the fact that with the systematic drinking of alcohol, the damaged areas already become accustomed to the influence of the poison, and therefore lose the ability to fully perform their functions in its absence. After taking the next dose of an alcohol-containing drink, their performance is restored.

Health problems arise from not drinking ethanol. The consequences can be very serious. The fact is that the body no longer works normally without the usual toxic effects of the poison. The severity of complications depends on the degree of alcoholism.

Without proper treatment, the patient is at risk of an alcoholic heart attack. As a result, partial cardiac arrest occurs. This can even be fatal for a person.

Thanks to research in this direction, it became known that the cause of such problems is a surge in adrenaline in the blood that enters the heart. Along with this, the amount of potassium in the myocardium decreases, against the background of which the heart muscle ceases to cope with the increased dosage of adrenaline. The outcome of such a scenario is the disorder of ventricular fibrillation followed by myocardial infarction.

Does drinking alcohol cause a heart attack?

Patients who have coronary artery disease should, if possible, completely abstain from alcohol. There is a certain relationship between drinking large amounts of alcohol and angina. This can also serve as a reason for the development of a heart attack. In some cases, an acute attack occurs after the onset of alcoholic excess.

Inadequate assessment of one’s condition, which is typical for people with beer and vodka addiction, as well as alcoholic euphoria, prevents the problem from being recognized in a timely manner and appropriate measures being taken. The situation is aggravated by the analgesic effect of ethanol and mild pain syndrome. Sometimes there is no pain at all when a heart attack approaches.

In addition, many patients mistake discomfort in the chest area for a sign of withdrawal, so they try to get rid of it with another portion of a fortified drink. And this only complicates the course of coronary insufficiency.

In order to promptly recognize a dangerous moment, it is necessary to take into account the symptoms of an alcoholic heart attack:

  • increased sweat production;
  • drying of mucous membranes;

  • weakness in the body;
  • signs of tachycardia;
  • heart rhythm disturbance.

At the first stage of withdrawal symptoms, symptoms are practically not noticeable. But when moving to the next stage, they intensify and become more pronounced. This manifests itself in the form of a drop in blood pressure, dizziness, nausea, vomiting, poor appetite, tremors of the limbs, and hyperemia of the skin. The third stage of this condition is considered the most severe, when all human organs are under attack, including the brain.

If it was not possible to avoid myocardial infarction, then first of all you should reconsider your habits. A person who values ​​life will do correct conclusions so as not to repeat previous mistakes.

Ideally, you should completely avoid drinking drinks containing alcohol. Otherwise, re-development of a heart attack cannot be ruled out. You should know that when drinking alcohol, blood vessels dilate and then sharply narrow. In this regard, the load on the heart increases and it becomes more difficult for it to push blood. The result of this influence is increased blood pressure, rapid heartbeat and a large heart attack.

Is it necessary to give up alcohol after a myocardial infarction?

Can a patient drink alcohol after a heart attack? This issue still causes a lot of controversy. Relatively recently, scientists believed that even a small amount of alcohol could be fatal for a patient who had suffered a myocardial infarction. Patients eventually eliminated alcohol from their lives entirely to reduce the risk of relapse.

Studies have shown that there is a certain dose, after exceeding which the risk of a recurrent attack decreases, but the problem remains relevant.

Drinking alcohol within the limits of 30 grams for men and 15 grams for women can prevent the development of a heart attack. But you shouldn’t blindly believe all existing assumptions. Only the attending physician should assess the risks and determine whether it is possible to drink beer after a heart attack.

It is worth remembering that alcohol has a detrimental effect on the cardiovascular system, namely:

  • affects the heart, which entails the development of severe pathologies;
  • leads to alcoholic cardiomyopathy, in which the heart increases in size;
  • causes heart rhythm disturbances;
  • contributes to the development and aggravation of hypertension and ischemic disease, which are the main cause of heart attacks.

The risk group includes patients who have diabetes mellitus, arterial hypertension, and heart failure. The consequences of drinking alcohol largely depend on individual characteristics the body of each individual patient and the site of myocardial damage.

Also in this question great importance has the time spent on providing the first medical care with myocardial infarction. If a patient is diagnosed with concomitant diseases that are incompatible with alcohol, then drinks containing it should be completely prohibited.

What can people who have had a myocardial infarction drink?

Ischemic infarction is usually caused by thrombosis and atherosclerosis. IN similar situations A high-quality alcoholic drink in the form of wine will prevent the development of various complications. But this can only be achieved with adequate consumption in moderation. Exceeding the permissible dose can be fatal for a sick person.

It is extremely undesirable to be treated with alcohol-containing drugs in an attempt to correct blood pressure or other parameters in this way. To solve this problem, you should take medications recommended by your doctor.

Alcohol after a heart attack increases the load on the heart muscle. The best option alcohol consumption will be 1-2 times a month and within reasonable limits. If a stroke or myocardial infarction was caused by drinking, doctors advise completely abstaining from products containing ethanol for the entire course of treatment. If you really want to feel the taste of your favorite drink again, you can drink non-alcoholic beer.

Persons with acute coronary artery disease require stenting. The essence of the procedure is to expand the walls of the affected blood vessel. Surgical intervention performed under general anesthesia. The manipulation is performed in the first hours after signs of a heart attack appear.

To prevent relapse, after the stent is implanted, the patient must restrain his desires for drinking for five days. Otherwise, disturbances in the functioning of the heart and blood vessels cannot be avoided.

Your attending physician will provide comprehensive information about whether you can drink alcohol after a heart attack and stenting.

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Performing thrombolysis for myocardial infarction
Atypical types of myocardial infarction, their manifestations

Unfortunately, in last decades, poor environment, sedentary lifestyle and others negative factors The age group of patients has rapidly “rejuvenated”: myocardial infarction is quite common in 30–40 year olds. Most often, the male part of the population suffers from the disease, since the fair sex is protected from atherosclerosis (the main cause of MI) by female sex hormones until the menopause stage.

Myocardial infarction is classified according to a number of indicators.

Stages of development

  1. Acute (several hours after the attack).
  2. Acute (up to ten days after the attack).
  3. Subacute (up to one and a half months after the attack).
  4. Scarring (up to six months from MI).

Anatomical features of the lesion

  1. Intramural.
  2. Transmural.
  3. Subepicardial.
  4. Subendocardial.

The volume of the lesion is small- and large-focal.

Localization of necrosis

  1. Left ventricular MI.
  2. Right ventricular MI.
  3. Septal MI.
  4. Isolated MI of the organ apex.
  5. Complex localizations.

Course of the disease

  1. Monocyclic.
  2. Lingering.
  3. Recurrent.
  4. Repeated myocardial infarction.

Clinical classification

  1. Myocardial infarction is a spontaneous type that occurs as a consequence of the first coronary event.
  2. Ischemic MI caused by insufficient oxygen supply due to anemia, embolism, hypo- and hypertension, etc.
  3. Sudden coronary death with organ failure.
  4. PCI-associated myocardial infarction.
  5. MI due to stent thrombosis.
  6. CABG-associated type of myocardial infarction.

Causes of myocardial infarction

The main cause of MI is usually atherosclerosis. In addition, the following circumstances significantly increase the likelihood of developing the disease:

  1. High blood cholesterol.
  2. Tobacco smoking.
  3. Sedentary lifestyle and overweight bodies.
  4. Diabetes.
  5. Great physical activity.
  6. Hypertensive crisis.
  7. Psycho-emotional stress.
  8. High blood pressure.
  9. Age after 50 for women and from 30 for men.

In most cases, the symptoms and signs of a heart attack are specific and unambiguous; they can be used to diagnose the problem at an early stage. The main clinical symptom is angiotic pain - an intense pain syndrome that forms behind the sternum. At the same time, in some patients the above sensations are very variable in nature, from almost complete absence pain to mild/moderate chest discomfort. In patients diabetes mellitus Most often, the above symptoms do not appear.

First signs

  1. Pain in the chest, less often in the throat, shoulder blade, discomfort in the abdomen (with atypical forms of MI). Lasts from thirty minutes to an hour (sometimes longer), is not relieved by nitrates, only analgesics of the narcotic spectrum are effective.
  2. (in half of the patients).
  3. Non-productive cough (in 20–40 percent of cases, usually with large-focal lesions and the asthmatic form of MI).
  4. Arrhythmia in the form of atrial fibrillation or extrasystoles.
  5. Neurological symptoms (impaired consciousness, dizziness) - with the cerebral form of MI.
  6. Girdle pain in the chest (in patients with).

In a quarter of patients, both early and late symptoms of MI may not appear, and the only indicator of the problem is cardiac arrest.

Diagnostics

Diagnostic measures at an early stage of the development of myocardial infarction significantly increase the patient’s survival rate. Basic procedures:

  1. Electrocardiography.
  2. Echocardiography.
  3. Analysis of blood plasma for proteins MB-CPK, AST, LDH1 and troponin. With MI, their indicators increase within 1–48 hours.

ECG for myocardial infarction

One of the main methods of early diagnosis by recording and simultaneously studying the electric fields of the beating heart gives an almost unambiguous answer to the question of whether the patient has a myocardial infarction.

On the electrocardiogram during myocardial infarction (the first six hours, the developing stage), there is a large dome-shaped rise in the ST segments merging with the T wave, followed by widened low Q waves. The R amplitude also increases. At the same time, some patients may experience QS forms of GI, mainly in the localization of myocardial infarction. With large-focal lesions, a quarter of all patients have no significant changes in the electrocardiogram, especially if the MI is repeated or intraventricular block occurs. In this situation, the indicator of the disease is the sequence of changes in QRS in relation to ST, observed after taking readings of a series of ECGs during the day.

The acute stage of the period from six to seven days after the attack is characterized by a negative T-wave and an ST segment that approaches the isoline.

Late diagnosis

Late delayed diagnosis of MI consists of coronography or myocardial scintigraphy, as well as the above-mentioned ECG - from the 30th day to several years, the patient exhibits a reduced amplitude of the R wave, ST complex on the isoline, as well as a positive T wave and persistent Q.

First aid for heart attack

  1. Place the person in a comfortable chair with a backrest, calm him down by loosening his tie and unbuttoning his constricting clothes.
  2. Give the patient nitroglycerin.
  3. If within five minutes the above medicine does not help, call ambulance.
  4. If the patient is not allergic to aspirin, ask him to chew 300 milligrams of this medicine thoroughly.
  5. If the heart stops, begin cardiopulmonary resuscitation with chest compressions and artificial respiration. It is optimal to use a portable defibrillator.

After the arrival of the medical team, the most important stage of the fight against the disease begins.

Drug treatment

  1. The prehospital stage consists of eliminating pain and restoring coronary blood flow. For pain relief, the team may use fentanyl with droperidol or morphine with sodium chloride. As an additional remedy - diazepam (all intravenously).
  2. Acetylsalicylic acid or clopidogrel intravenously 250–500 milligrams (antiplatelet therapy).
  3. Unfractionated heparin (the first two days) intravenous bolus at 60 IU/kg body weight (anticoagulant effect).
  4. Streptokinase (1.5 million IU per 100 ml sodium chloride) as thrombolytic therapy.
  5. Beta blockers atenolol, metoprolol or propranolol.
  6. Others as necessary as prescribed by a doctor.

Rehabilitation after a heart attack

On average, basic rehabilitation after an MI takes several months. Main events:

  1. Taking medications prescribed by your doctor.
  2. Undergoing physiotherapeutic procedures.
  3. Dieting.
  4. Fight with bad habits.
  5. Gradual introduction of physical therapy with increasing intensity physical activity.
  6. Combating psychoses and neurotic disorders, which are often diagnosed after myocardial infarction in an elderly group of patients.

Since the general prognosis of the disease is conditionally unfavorable, the likelihood of returning to normal life will depend not only on the completeness of the restoration measures taken, but also on the individual characteristics of the patient’s body, his environment and other factors.

Possible consequences

Possible complications of MI include a number of pathologies.

Pathologies of the early stage of the disease

  1. Various types of arterial hypotension.
  2. Irregularities at work respiratory system.
  3. Cardiogenic shock.
  4. Pericarditis.
  5. Multiple rhythm/conduction disturbances with thromboembolic complications.

Pathologies of the late stage of the disease

  1. Heart aneurysms.
  2. Dressler's syndrome.
  3. Chronic heart failure.

The list of preventive measures developed by a cardiologist and rehabilitation specialist purely individually for the patient, taking into account the current state of his health, includes the following measures:

  1. Weight control.
  2. Regular physical activity.
  3. Quitting smoking and drinking alcohol.
  4. Strict control of cholesterol, glucose and blood pressure levels.
  5. A diet with no salt and foods rich in refractory fats. Introduction to the diet of seafood, vegetables, fruits and dishes containing large amounts of minerals, vitamins, and fiber.
  6. Taking medications - cardiomagnyl, aspirin, carvedilol, statins, ACE inhibitors, eicosapentaenoic/docosahexaenoic acid, heparin in dosages prescribed by a cardiologist.

Useful video

Elena Malysheva in the program “Live Healthy!” Myocardial infarction

Acute myocardial infarction