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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Drinking Safe After A Big Heart Attack And Clot In Leg?

After a big heart attack i am waiting for a another op to put 2 more stents in. Whist in hospital i got a clot in my right leg, extremely painful. I used to go out once a week to chat to mates and have a jar. I have had Fibromyalgia for many years. I am now getting stir crazy staring at 4 walls. A mate is prepared to give me a door to door lift. So far i have been seen by hospital and 3 different doctors, of of my questions was how much Guinness i can have on this one night I don t drink on any other days. So far i have had 3 different answers and i am getting fed up seeing a different doctor each time. I am housebound.
Mon, 19 Aug 2019
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Internal Medicine Specialist 's  Response
Hello,

Alcohol is a myocardial toxin and generally, patients are advised to stop drinking alcohol post-myocardial infarction.

However several prospectively performed cohort studies have demonstrated that drinkers of moderate amounts of ethanol are 40% to 70% less likely to manifest coronary artery disease or ischemic stroke when compared with nondrinkers or heavy consumers.

Moderate alcohol intake is associated with a reduced risk of myocardial infarction (MI).

Moderate consumption exerts several beneficial effects, including the following:

(1) an increase in the serum concentrations of HDL cholesterol and apolipoprotein A-I;

(2) inhibition of platelet aggregation;

(3) a decreased serum fibrinogen concentration;

(4) increased antioxidant activity (from the phenolic compounds and flavonoids contained in red wine);

(5) anti-inflammatory effects (with lower concentrations of white blood cells and C-reactive protein); and

(6) improved fibrinolysis resulting from increased concentrations of endogenous tissue plasminogen activator and a concomitant decrease in endogenous plasminogen activator inhibitor activity.

One pint of Guinness a day is considered moderate. These are the pros and cons. Rest is up to you.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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Is Drinking Safe After A Big Heart Attack And Clot In Leg?

Hello, Alcohol is a myocardial toxin and generally, patients are advised to stop drinking alcohol post-myocardial infarction. However several prospectively performed cohort studies have demonstrated that drinkers of moderate amounts of ethanol are 40% to 70% less likely to manifest coronary artery disease or ischemic stroke when compared with nondrinkers or heavy consumers. Moderate alcohol intake is associated with a reduced risk of myocardial infarction (MI). Moderate consumption exerts several beneficial effects, including the following: (1) an increase in the serum concentrations of HDL cholesterol and apolipoprotein A-I; (2) inhibition of platelet aggregation; (3) a decreased serum fibrinogen concentration; (4) increased antioxidant activity (from the phenolic compounds and flavonoids contained in red wine); (5) anti-inflammatory effects (with lower concentrations of white blood cells and C-reactive protein); and (6) improved fibrinolysis resulting from increased concentrations of endogenous tissue plasminogen activator and a concomitant decrease in endogenous plasminogen activator inhibitor activity. One pint of Guinness a day is considered moderate. These are the pros and cons. Rest is up to you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist