I would love to hear about your experiences with alcohol and blood pressure management, so please share your questions, thoughts, or success stories in the comments below. Your sleep quality also improves significantly when you eliminate alcohol, and better sleep directly correlates with better blood pressure control. Heavy drinkers also tend to gain weight, especially around their midsection, which adds another layer of cardiovascular stress. Hi, I am Abdur, your nutrition coach, and today I am going to explain exactly how alcohol affects your blood pressure and whether you should avoid it completely. Heart health isn’t about giving up things you enjoy; it’s about understanding how your lifestyle may affect your health.
Mammen 2018 published data only
During follow‐up BP checks, drinking goals should be reviewed and progress reinforced. If both drinking and BP are reduced, the physician should make special mention of this connection. If the patient continues to drink heavily, it may be time to consider a referral for alcohol counseling.
Koskinen 1991 published data only
- The Recovery Village Columbus Drug, Alcohol and Mental Health Rehab specializes in compassionate, evidence-based care tailored to your needs.
- In the case of registration at clinical trials.gov, we considered only one study to have low risk of bias (Barden 2013).
- One recent study in the Journal of the American College of Cardiology found that in 17,059 participants, those who drank moderately and those who drank heavily were both at significantly higher risk of high blood pressure than those who never drank.
It is important to note that information regarding to the method of randomisation used in Foppa 2002 and Rosito 1999 was provided by the study author via email. Both reviewers (ST and CT) rated the certainty of evidence independently by examining risk of bias, indirectness, inconsistency, imprecision, and publication bias. Both review authors (ST and CT) rated the certainty of evidence independently by examining risk of bias, indirectness, inconsistency, imprecision, and publication bias. We used Cochrane review manager software for all data analyses (Review Manager (RevMan)).

Dimmitt 1998 published data only
Some people wonder if specific types of alcohol, like red wine or beer, are better for blood pressure alcohol. While moderate red wine consumption has been linked to certain heart health benefits, such as improved blood flow due to antioxidants, these benefits do not cancel out the risks of drinking too much alcohol. More contemporary studies have not found evidence of mitochondrial injury in biopsy samples from long-term alcohol drinkers (Miró et al. 2000). Differences among results from human studies may relate to small sample sizes, duration of drinking, and degree of myocardial dysfunction.
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Certain individuals may be more susceptible to the effects of alcohol on blood pressure. Those who have a history of high blood pressure, are already taking medication to manage hypertension, or have other underlying health conditions should be particularly cautious. Additionally, people who engage in heavy drinking or binge drinking are at a higher risk of experiencing adverse effects on their blood pressure. On the other hand, heavy drinkers—those who consume more than three drinks per day—are at a much higher risk of developing hypertension. The more alcohol you consume, the greater the strain on your cardiovascular system. Chronic alcohol use can lead to sustained high blood pressure, which, if left unmanaged, can result in serious health risks, including heart attack, stroke, and kidney disease.

It affects about 50% of people with alcohol use disorder who stop or significantly decrease their alcohol intake. AUD is the most common substance use disorder in drug addiction treatment the U.S., affecting 28.8 million adults. If you notice any of these signs consistently after drinking alcohol, it might be worthwhile to monitor your blood pressure or consult a healthcare provider.
Abrupt cessation can sometimes lead to withdrawal symptoms, which may include temporary increases in blood pressure, heart rate, and other severe effects. Over several months and beyond, sustained improvements in blood pressure are common, especially with continued sobriety. Long-term abstinence allows the cardiovascular system to heal, and blood pressure can reach healthier, more stable levels. The degree of improvement can be significant, with heavy drinkers potentially seeing their systolic blood pressure drop by 5.5 mmHg and diastolic by 4 mmHg if they reduce their intake to moderate levels or quit entirely.
Including both of blood pressure and alcohol these doses or de‐selecting either one of these doses from Rosito 1999 from Analysis 2.1 and Analysis 2.2 (medium doses of alcohol) resulted in the same statistically significant conclusion. We classified six studies as having low risk of performance bias (Dai 2002; Narkiewicz 2000; Nishiwaki 2017; Potter 1986; Rosito 1999; Van De Borne 1997). In this study, all test drinks were poured into paper cups to achieve blinding of participants.
