Aguilera MT, Estruch R, Coca A, De la Sierra A, Rubin E, Urbano-Marquez A
Chronic alcohol intake rises blood pressure in normotensive and essential hypertensive patients: assessment by 24-h ABPM
12th Annual ASH Meeting
Am J Hypertens (Apr) 10:196A 1997

36 normotensive and 12 hypertensive chronic heavy alcohol users were studied with 24-hour ABPM as inpatients while drinking and after one month's abstinence. Blood pressure and heart rate fell in both groups during abstinence, more in hypertensives than normotensives.

Comment: There is little doubt that chronic heavy alcohol intake increases blood pressure. The current report adds little except for the inclusion of ABPM technology. The absence of a control group (either never-drinkers or continuing drinkers) seriously flaws the design and makes it difficult to know whether the magnitude of the fall in blood pressure is due to alcohol withdrawal or other factors (acclimatization to procedure, time effect, covariates). In general, I have no argument with the conclusion, that hypertensives should reduce heavy alcohol intake. (Alan Weder, M.D., University of Michigan)

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12th Annual ASH Meeting
H: Special problems : Smoking, ethanol, substance abuse
H: Exam and lab tests : Ambulatory monitoring