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Alcohol consumption in patients with cardiovascular diseases (results of the survey of cardiac patients in outpatient practice)

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Aim. To study the frequency and characteristics of alcohol use in outpatients with cardiovascular diseases and to determine their preferences regarding the help in limiting alcohol consumption.

Material and methods. Voluntary and anonymous survey using AUDIT-C and CAGE questionnaires was conducted in 199 patients. The data of 182 patients (82 women and 100 men, mean age 56.4±5.8 years) was included in the analysis.

Results. Arterial hypertension (70%), heart rhythm disorders (25%), ischemic heart disease (20%), functional class I-II chronic heart failure (21%) predominated among all clinical entities. Positive AUDIT-C test was found in 30% of men and 7.3% of women. 17% of men and 23.2% of women did not use alcohol at all. Positive responses to all 4 questions of the CAGE test were given by 3% of men and none of women, positive answers to 3 questions – by 15% of men and none of women, to 2 questions - by 17% of men and 11% of women. Positive answer to the question about the need to reduce alcohol consumption was given by 36% of men and 13.4% of women.

Conclusion. Simultaneous testing using AUDIT-C and CAGE questionnaires in outpatients with cardiovascular diseases allows identifying a subgroup of patients (more in men) who have a potential problem with an excessive alcohol consumption and need to reduce the intake of alcoholic beverages.

About the Authors

O. D. Ostroumova
MoscowStateUniversity of Medicine and Dentistry named after A.I. Evdokimov. Delegatskaya ul. 20/1, Moscow, 127473 Russia I.M. Sechenov First Moscow State Medical University. Trubetskaya ul. 8-2, Moscow, 119991 Russia
Russian Federation

I. E. Nikolaeva
Republican Cardiology Center. Stepana Kuvykina ul. 96, Ufa, 450000 Republic of Bashkortostan, Russia
Russian Federation

S. Ya. Eregin
Yaroslavl Regional Hospital. Yakovlevskaya ul. 7, Yaroslavl, 150062 Russia
Russian Federation

I. V. Pokrovskaya
Yaroslavl Regional Hospital. Yakovlevskaya ul. 7, Yaroslavl, 150062 Russia
Russian Federation

K. A. Ishchenko
LLC "Lundbeck RUS". Vtoroi Krutitskyi per. 18-1, Moscow, 109044 Russia
Russian Federation


1. Shkolnikov V.M., Andreev E.M., Leon D.A., McKee M., Meslé F., Vallin J. Mortality Reversal in Russia: the story so far. Hygiea Internationalis 2004; 4: 29-80.

2. Leon D.A., Chenet L., Shkolnikov V.M. et al. Alcohol is implicated in the fluctuations in cardiovascular disease in Russia since the 1980s. Ann Epidemiol 2001; 11: 1-6.

3. Rehm J., Taylor B., Patra J. Volume of alcohol consumption, patterns of drinking and burden of disease in the European region 2002. Addiction 2006; 101: 1086-95.

4. Bohan NA, Mandel AI, Maksimenko N,N Mikhaleva LD. Deaths in alcohol dependence. Narkologiia 2007; 12: 37-40. In Russian (Бохан Н.А., Мандель А.И., Максименко Н.Н., Михалева Л.Д. Смертельные исходы при алкогольной зависимости. Наркология 2007;12: 37-40).

5. Nemtsov AV Terekhin AT The size and structure of the diagnostic of alcohol deaths in Russia. Narkologiia 2007; 12: 29-36. In Russian (Немцов А.В., Терехин А.Т. Размеры и диагностический состав алкогольной смертности в России. Наркология 2007; 12: 29-36).

6. Alt S. Alkoholprobleme in algemeinazztlichen Patientenkreis einer grobstadtischen Poliklinik. Z Klin Med 1991; 46 (11): 863-6.

7. Lieber C.S. Alcoholism: a disease of internal medicine. J. Stud. Alcohol. 1990; 51(2): 101-103.

8. Schuckit M.A. Why don’t we diagnose alcoholism in our patients? J Fam Pract 1987; 25 (3): 225-6.

9. Entin GM, Hofman AG, Muzichenko AP, Krylov EN. Alcohol and drug dependence. Moscow: Medpraktika; 2002. In Russian (Энтин Г.М., Гофман А.Г., Музыченко А.П., Крылов Е.Н. Алкогольная и наркотическая зависимость. М.: Медпрактика; 2002).

10. Egorov AY, Krupitsky EM, Sofronov AG, et al. Alcohol abuse in patients urgently admitted to a hospital emergency room. Obozrenie Psikhiatrii i Meditsinskoy Psikhologii 2013; 1: 2-4. In Russian (Егоров А.Ю., Крупицкий Е.М., Софронов А.Г. и др. Злоупотребление алкоголем у больных, экстренно госпитализированных в больницу скорой помощи. Обозрение Психиатрии и Медицинской Психологии 2013; 1: 2-4).

11. Monras M, Mondon S, Ortega L, Gual A. Alcoholism in the general hospital: 4 years mortality and hospitalization. Med Clin (Barc) 2005; 125 (12):441-7.

12. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT. The Alcohol Use Disorders Identification Test. Guidelines for Use in Primary Care, Second Edition, World Health Organization Department of Mental Health and Substance Dependence. Geneva: WHO; 2001.

13. Bush K, Kivlahan DR, McDonell MB, et al. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med 1998;158(16):1789-95.

14. Mayfield D, McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism instrument. Am J Psychiatry 1974; 131: 1121-3.

15. Ewing JA. Detecting alcoholism, the CAGE questionnaire. JAMA 1984; 252: 1905-7.


For citations:

Ostroumova O.D., Nikolaeva I.E., Eregin S.Y., Pokrovskaya I.V., Ishchenko K.A. Alcohol consumption in patients with cardiovascular diseases (results of the survey of cardiac patients in outpatient practice). Rational Pharmacotherapy in Cardiology. 2015;11(6):582-589. (In Russ.)

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