Effects of Alcohol Consumption on Hypertension

AYGEN, Bilge

Effects of Alcohol Consumption on Hypertension

Bilge AYGEN (Fırat Üniversitesi, Tıp Fakültesi, Nefroloji Anabilim Dalı, Elazığ, Türkiye)

İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi

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Yıl: 2015 Cilt: 22 Sayı: 2 Sayfa Aralığı: 134 - 137 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effects of Alcohol Consumption on Hypertension

Öz:

Non farmakolojik tedavi ve yaşam şekli değişiklikleri ile hipertansiyonun önlenmesi ve kan basıncının düşürülmesi, kardiyovaskülerhastalıklarla ilişkili morbidite ve mortaliteyi azaltma ve tedavi harcamalarını düşürmede önemli bir rol oynayabilir. Alkol kullanımınınazaltılması JNC VII raporunda önerilen yaşam tarzı değişikliklerinden birisidir. Aşırı miktarda alkol tüketimi hem normotansif, hem dehipertansif bireylerde kan basıncında yükselmeye neden olur. Aynı zamanda alkol antihipertansif ilaç tedavisine direnç oluşturabilir. Alkolünkan basıncı üzerine etkisi alkolün türünden çok, alkol miktarına bağlıdır. Kalp hastalığı açısından bakılacak olursa hafif-ılımlı alkol kullanımıher ne kadar kan basıncı artışına eğilim oluştursa da yüksek dansiteli lipoprotein kolesterolü artırması, fibrojeni ve platelet agregasyonunuazaltması ve antioksidan sistemler üzerindeki olumlu etkileri ile azalmış koroner hastalık ve iskemik inme riski ile beraberdir. Bununla birliktetüketilen alkol miktarı arttıkça kan basıncında yükselme, hemorajik ve iskemik inme, alkolle ilişkili kardiyomyopati, aritmi ve ani kardiyakölüm riski artmaktadır. Bu nedenle hipertansiyon saptanan kişilerde ilaç tedavisinin dışında yapılması gerekenlerden birisi alkolün bırakılmasıveya azaltılması olmalıdır. Alkol alımının azaltılması ile sistolik ve diyastolik kan basınçlarındaki net azalma arasında belirgin pozitif ilişkiolduğu saptanmıştır. Alkol tüketiminin azaltılması sistolik kan basıncında yaklaşık 2-4 mmHg bir azalma sağlamaktadır. Bu nedenleerkeklerde günde 1-2 içki, kadınlar ve çok zayıf kişilerde 1 içkiye kadar miktarlar optimal gözükmektedir. Alkol kullanan kişilerde anahtarsözcüğün ılımlılık, aşırıya kaçmamak olduğu unutulmamalıdır.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Alkol Tüketiminin Hipertansiyon Üzerine Etkileri

Öz:

Prevention of hypertension and lowering blood pressure with non-pharmacological treatment and lifestyle changes may reducecardiovascular morbidity and mortality associated with alcohol while they also play an important role in reducing the cost ofmedical treatment. Reduction of alcohol consumption is one of the recommended lifestyle changes in the JNC VII report.Excessive amounts of alcohol consumption leads to an increase in blood pressure in both normotensive and hypertensiveindividuals. At the same time, alcohol can lead to resistance to antihypertensive drug treatment. Effects of alcohol on bloodpressure is depent on the amount of alcohol rather than the type of alcohol. As far as heart diseases are concerned, mild-to- moderate alcohol consumption, despite its tendency to increase blood pressure, is associated with decreased risk of coronaryartery diseases and ischemic stroke by way of elevating high-density lipoprotein cholesterol levels, reducing fibrinogen andplatelet aggregation, and producing positive effects on antioxidants systems. However, increased alcohol consumption isaccompanied by increased blood pressure, hemorrhagic and ischemic strokes, alcohol-induced cardiomyopathy, arrhythmia, andsudden cardiac death. Therefore, people with hypertension should avoid or reduce alcohol consumption in addition to drugtreatment. A positive relationship has been detected between decreasing alcohol consumption and systolic and diastolic bloodpressures. Reducing alcohol consumption provides a 2-4 mmHg reduction in systolic blood pressure levels. For this reason, 1-2drinks per day for men and up to one drink for women and people with poor health seem to be optimal amounts. People who usealcohol should keep in mind that moderation and unexcessive consumption are the key words in avoiding alcohol related medicalconditions.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	AYGEN B (2015). Effects of Alcohol Consumption on Hypertension. , 134 - 137.
Chicago	AYGEN Bilge Effects of Alcohol Consumption on Hypertension. (2015): 134 - 137.
MLA	AYGEN Bilge Effects of Alcohol Consumption on Hypertension. , 2015, ss.134 - 137.
AMA	AYGEN B Effects of Alcohol Consumption on Hypertension. . 2015; 134 - 137.
Vancouver	AYGEN B Effects of Alcohol Consumption on Hypertension. . 2015; 134 - 137.
IEEE	AYGEN B "Effects of Alcohol Consumption on Hypertension." , ss.134 - 137, 2015.
ISNAD	AYGEN, Bilge. "Effects of Alcohol Consumption on Hypertension". (2015), 134-137.

APA	AYGEN B (2015). Effects of Alcohol Consumption on Hypertension. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 22(2), 134 - 137.
Chicago	AYGEN Bilge Effects of Alcohol Consumption on Hypertension. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 22, no.2 (2015): 134 - 137.
MLA	AYGEN Bilge Effects of Alcohol Consumption on Hypertension. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.22, no.2, 2015, ss.134 - 137.
AMA	AYGEN B Effects of Alcohol Consumption on Hypertension. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2015; 22(2): 134 - 137.
Vancouver	AYGEN B Effects of Alcohol Consumption on Hypertension. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2015; 22(2): 134 - 137.
IEEE	AYGEN B "Effects of Alcohol Consumption on Hypertension." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 22, ss.134 - 137, 2015.
ISNAD	AYGEN, Bilge. "Effects of Alcohol Consumption on Hypertension". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 22/2 (2015), 134-137.