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How does alcohol damage the heart muscle itself? Heavy drinking raises blood pressure and causes irregular heartbeats. Over time, these changes stretch the heart muscle thin and weak. The eroding muscle can no longer pump blood efficiently, producing a condition called alcoholic cardiomyopathy. How long until alcohol causes permanent heart damage? Damage often appears after years of heavy drinking, usually ten or more. Daily amounts above four drinks for men or three for women raise the risk. People vary in sensitivity, so some see changes sooner. What happens if you stop drinking once damage has begun? Stopping alcohol lets the heart muscle regain thickness and strength in many cases. Recovery speed depends on how much damage already exists. Early quitting yields better outcomes. What other cardiovascular risks does alcohol create? Excessive drinking expands blood vessels temporarily, then causes rebound constriction. This fluctuation helps produce high blood pressure, stroke, and atrial fibrillation. Alcohol also raises triglyceride levels, speeding atherosclerosis. Why are some people more susceptible than others? Genetic differences affect how fast the body breaks down acetaldehyde, a toxic alcohol metabolite. Poor nutrition and existing high blood pressure or diabetes amplify the risk.
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