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Dtsch Med Wochenschr 2003; 128(47): 2497-2502
DOI: 10.1055/s-2003-44322
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Hypertonologie
© Georg Thieme Verlag Stuttgart · New York

Alkoholgenuss und arterielle Hypertonie

Alcohol consumption and hypertensionS. Rosenkranz1
  • 1Klinik III für Innere Medizin der Universität zu Köln (Direktor: Prof. Dr. med. E. Erdmann)
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Publikationsverlauf

eingereicht: 27.8.2003

akzeptiert: 31.10.2003

Publikationsdatum:
20. November 2003 (online)

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Die arterielle Hypertonie ist ein wesentlicher Risikofaktor für atherosklerotische Gefäßveränderungen und kardiovaskuläre Ereignisse wie Myokardinfarkt und Schlaganfall [25]. Der regelmäßige Genuss alkoholischer Getränke ist mit einer Erhöhung des arteriellen Blutdruckes assoziiert [5] [20] [22]. Andererseits ist in zahlreichen Studien belegt, dass moderater Alkoholkonsum mit einer Senkung der Gesamtsterblichkeit und insbesondere kardiovaskulärer Ereignisse vergesellschaftet ist [6] [12] [15] [44-46] [54]. Es stellt sich somit die Frage, in welchen Situationen die potenziell günstigen Effekte eines mäßigen Alkoholkonsums keine negativen Folgen erwarten lassen, und wann Alkoholgenuss schädliche Auswirkungen hat. Im Folgenden sollen ein Überblick über die Zusammenhänge von Alkoholkonsum und arterieller Hypertonie vermittelt und unter Berücksichtigung der aktuellen Empfehlungen des „Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure” (JNC) praktische Hinweise für die individuelle Patientenführung und -beratung gegeben werden.

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Dr. med. Stephan Rosenkranz

Klinik III für Innere Medizin, Universität zu Köln

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50924 Köln (Lindenthal)

Telefon: 0221/4785159

Fax: 0221/4786490

eMail: stephan.rosenkranz@medizin.uni-koeln.de