{"id":10693,"date":"2021-12-28T08:14:04","date_gmt":"2021-12-28T11:14:04","guid":{"rendered":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/?p=10693"},"modified":"2026-01-25T14:51:28","modified_gmt":"2026-01-25T17:51:28","slug":"efeitos-do-alcool-sobre-o-coracao","status":"publish","type":"post","link":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/","title":{"rendered":"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o &#8211; a Intoxica\u00e7\u00e3o Et\u00edlica."},"content":{"rendered":"<h2>______________________________________________<\/h2>\n<h2><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Muitos n\u00e3o conhecem o efeito do \u00e1lcool sobre o cora\u00e7\u00e3o\u00a0<\/span><\/h2>\n<h3><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> Philip Ettinger et al. cunharam o termo &#8220;s\u00edndrome do cora\u00e7\u00e3o p\u00f3s-feriado&#8221; , ou arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica,\u00a0 como altera\u00e7\u00e3o aguda do ritmo card\u00edaco e\/ou dist\u00farbio da condu\u00e7\u00e3o associado ao consumo de grande quantidade de etanol na aus\u00eancia de outros ind\u00edcios cl\u00ednicos de doen\u00e7a card\u00edaca&#8221;.<\/span><\/h3>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> As pessoas que apresentam este quadro em geral referem liba\u00e7\u00e3o alco\u00f3lica exagerada durante um fim de semana ou feriado.<\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">A recupera\u00e7\u00e3o da <\/span><span data-tt=\"{&quot;link&quot;:&quot;http:\/\/reference.medscape.com\/medline\/abstract\/636996&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica<\/span><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> exige detec\u00e7\u00e3o precoce e abstin\u00eancia de bebidas alco\u00f3lica <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">O dist\u00farbio mais comum <\/span><span data-tt=\"{&quot;link&quot;:&quot;https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537185\/&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">na arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica \u00e9 a <strong>fibrila\u00e7\u00e3o atrial (FA)<\/strong><\/span><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">. Este quadro deve ser considerado como diagn\u00f3stico diferencial para os pacientes sem cardiopatia estrutural e com fibrila\u00e7\u00e3o atrial de in\u00edcio recente.<\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> Mesmo o consumo comedido de bebidas alco\u00f3licas pode ser identificado <\/span><span data-tt=\"{&quot;link&quot;:&quot;https:\/\/www.medscape.com\/viewarticle\/957840&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">como gatilho em alguns pacientes<\/span><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> com fibrila\u00e7\u00e3o atrial parox\u00edstica. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">O <\/span><span data-tt=\"{&quot;link&quot;:&quot;http:\/\/reference.medscape.com\/medline\/abstract\/27931615&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">risco de fibrila\u00e7\u00e3o atrial persiste<\/span><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> na fase da ressaca e\/ou abstin\u00eancia, o que corresponde a um <strong>aumento do t\u00f4nus simp\u00e1tico. <\/strong><\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">O dist\u00farbio da condu\u00e7\u00e3o tipicamente reverte para ritmo sinusal normal <\/span><span data-tt=\"{&quot;link&quot;:&quot;https:\/\/pubmed.ncbi.nlm.nih.gov\/8805002\/&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">em <strong>at\u00e9 24 horas<\/strong><\/span><strong>. <\/strong><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Embora a maioria (&gt; 90%) dos casos de<strong> fibrila\u00e7\u00e3o atrial<\/strong> por intoxica\u00e7\u00e3o et\u00edlica tenha resolu\u00e7\u00e3o espont\u00e2nea, cerca de 20% a 30% <\/span><span data-tt=\"{&quot;link&quot;:&quot;http:\/\/reference.medscape.com\/medline\/abstract\/19699381&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">recidiva em 12 meses<\/span><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">.<\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> O consumo moderado a pesado de bebidas alco\u00f3licas tamb\u00e9m \u00e9 um forte fator de risco de progress\u00e3o da fibrila\u00e7\u00e3o atrial parox\u00edstica para fibrila\u00e7\u00e3o atrial persistente. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Ao considerar a arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica, est\u00e1 impl\u00edcita a fibrila\u00e7\u00e3o atrial. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"><strong>Com isso em mente, a palpita\u00e7\u00e3o \u00e9 o sintoma mais comum nestes casos. <\/strong><\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Os sinais e sintomas podem ser intermitentes ou persistentes, dependendo da ocorr\u00eancia ou n\u00e3o de arritmia sustentada e da resposta ventricular \u00e0 fibrila\u00e7\u00e3o atrial. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Outros sinais e sintomas <\/span><span data-tt=\"{&quot;link&quot;:&quot;https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3998158\/&quot;,&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">comumente associados a arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica<\/span><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> s\u00e3o:<\/span><\/p>\n<ul>\n<li><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> press\u00e3o ou dor precordial<\/span><\/li>\n<li><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">s\u00edncope ( desmaio)<\/span><\/li>\n<li><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">dispneia (falta de ar)<\/span><\/li>\n<\/ul>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">O <strong>ecocardiograma<\/strong> \u00e9 rotina no atendimento para a avalia\u00e7\u00e3o de aumento das c\u00e2maras card\u00edacas, anomalias do movimento das paredes do ventr\u00edculo esquerdo, hipertrofia, doen\u00e7a valvar e disfun\u00e7\u00e3o sist\u00f3lica e diast\u00f3lica. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Nos pacientes com risco de doen\u00e7a coronariana, pode ser necess\u00e1rio fazer outros exames de imagem card\u00edaca (como imagens de perfus\u00e3o). <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">A ausculta card\u00edaca dos pacientes com arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica costuma ser normal, exceto pelo ritmo \u201cirregularmente irregular\u201d. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Os achados nos exames laboratoriais de rotina desses pacientes com frequ\u00eancia indicam liba\u00e7\u00e3o alco\u00f3lica.<\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"> O volume corpuscular m\u00e9dio aumenta em caso de consumo excessivo de bebidas alco\u00f3licas. .<\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">A raz\u00e3o entre as aminotransferases aspartato ( TGP MAIOR QUE TG0) e alanina pode ser de 2:1, respectivamente. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\"><strong>H\u00e1 indica\u00e7\u00e3o de investiga\u00e7\u00e3o hep\u00e1tica. <\/strong><\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Dada a natureza geralmente transit\u00f3ria da fibrila\u00e7\u00e3o atrial induzida pelo \u00e1lcool et\u00edlico no cora\u00e7\u00e3o estruturalmente normal, o controle da frequ\u00eancia e o tratamento sintom\u00e1tico da intoxica\u00e7\u00e3o et\u00edlica em geral s\u00e3o suficientes. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Para o controle da frequ\u00eancia, pode ser necess\u00e1rio tratamento com um<strong> bloqueador do nodo atrioventricular<\/strong> (como um betabloqueador ou um bloqueador do canal de c\u00e1lcio) se a frequ\u00eancia ventricular estiver r\u00e1pida. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">Embora a anticoagula\u00e7\u00e3o prolongada seja indicada para pacientes com fibrila\u00e7\u00e3o atrial parox\u00edstica, persistente ou permanente, al\u00e9m de fatores de risco de acidente vascular cerebral ou tromboembolia sist\u00eamica, deve-se ter cautela no caso dos pacientes com intoxica\u00e7\u00e3o et\u00edlica aguda. <\/span><\/p>\n<p><span data-tt=\"{&quot;paragraphStyle&quot;:{&quot;alignment&quot;:4,&quot;writingDirection&quot;:1,&quot;indent&quot;:1}}\">A menos que existam carater\u00edsticas de alto risco (como hist\u00f3ria de acidente vascular cerebral, v\u00e1lvula card\u00edaca mec\u00e2nica ou outra indica\u00e7\u00e3o de anticoagula\u00e7\u00e3o), uma estrat\u00e9gia razo\u00e1vel pode ser permitir que o paciente se recupere do epis\u00f3dio agudo e, a seguir, iniciar a anticoagula\u00e7\u00e3o quando estiver clinicamente est\u00e1vel. <\/span><\/p>\n<hr \/>\n<h3><strong>Refer\u00eancias:<\/strong><\/h3>\n<p data-start=\"788\" data-end=\"998\">VETRANO, D. L. et al. <strong data-start=\"810\" data-end=\"904\">Alcohol consumption and risk of atrial fibrillation: a systematic review and meta-analysis<\/strong>. <em data-start=\"906\" data-end=\"953\">Journal of the American College of Cardiology<\/em>, New York, v. 73, n. 13, p. 1610\u20131622, 2019.<\/p>\n<hr data-start=\"1000\" data-end=\"1003\" \/>\n<h3 data-start=\"1005\" data-end=\"1084\"><strong data-start=\"1009\" data-end=\"1084\">2. Intoxica\u00e7\u00e3o alco\u00f3lica e fibrila\u00e7\u00e3o atrial (\u201cHoliday Heart Syndrome\u201d)<\/strong><\/h3>\n<p data-start=\"1085\" data-end=\"1261\">ETTINGER, P. O. et al. <strong data-start=\"1108\" data-end=\"1192\">Arrhythmias and the \u201cHoliday Heart\u201d: alcohol-associated cardiac rhythm disorders<\/strong>. <em data-start=\"1194\" data-end=\"1218\">American Heart Journal<\/em>, St. Louis, v. 95, n. 5, p. 555\u2013562, 1978.<\/p>\n<hr data-start=\"1263\" data-end=\"1266\" \/>\n<h3 data-start=\"1268\" data-end=\"1340\"><strong data-start=\"1272\" data-end=\"1340\">3. \u00c1lcool como fator de risco modific\u00e1vel para fibrila\u00e7\u00e3o atrial<\/strong><\/h3>\n<p data-start=\"1341\" data-end=\"1513\">VOS, C. B. et al. <strong data-start=\"1359\" data-end=\"1447\">Alcohol consumption and risk of atrial fibrillation: the Copenhagen City Heart Study<\/strong>. <em data-start=\"1449\" data-end=\"1473\">European Heart Journal<\/em>, Oxford, v. 41, n. 9, p. 927\u2013934, 2020.<\/p>\n<hr data-start=\"1515\" data-end=\"1518\" \/>\n<h3 data-start=\"1520\" data-end=\"1585\"><strong data-start=\"1524\" data-end=\"1585\">4. Redu\u00e7\u00e3o do consumo de \u00e1lcool e diminui\u00e7\u00e3o de arritmias<\/strong><\/h3>\n<p data-start=\"1586\" data-end=\"1737\">VOS, C. B. et al. <strong data-start=\"1604\" data-end=\"1663\">Alcohol abstinence in drinkers with atrial fibrillation<\/strong>. <em data-start=\"1665\" data-end=\"1698\">New England Journal of Medicine<\/em>, Boston, v. 382, n. 1, p. 20\u201328, 2020.<\/p>\n<hr data-start=\"1739\" data-end=\"1742\" \/>\n<h3 data-start=\"1744\" data-end=\"1779\"><strong data-start=\"1748\" data-end=\"1779\">5. Cardiomiopatia alco\u00f3lica<\/strong><\/h3>\n<p data-start=\"1780\" data-end=\"1905\">PIANETTI, G. et al. <strong data-start=\"1800\" data-end=\"1839\">Alcoholic cardiomyopathy: an update<\/strong>. <em data-start=\"1841\" data-end=\"1865\">European Heart Journal<\/em>, Oxford, v. 45, n. 6, p. 412\u2013421, 2024.<\/p>\n<hr data-start=\"1907\" data-end=\"1910\" \/>\n<h3 data-start=\"1912\" data-end=\"1971\"><strong data-start=\"1916\" data-end=\"1971\">6. Diretrizes cardiovasculares \u2013 \u00e1lcool e arritmias<\/strong><\/h3>\n<p data-start=\"1972\" data-end=\"2196\">AMERICAN HEART ASSOCIATION; AMERICAN COLLEGE OF CARDIOLOGY; HEART RHYTHM SOCIETY. <strong data-start=\"2054\" data-end=\"2140\">2023 ACC\/AHA\/HRS guideline for the management of patients with atrial fibrillation<\/strong>. <em data-start=\"2142\" data-end=\"2155\">Circulation<\/em>, Dallas, v. 148, n. 5, p. e1\u2013e125, 2023.<\/p>\n<hr data-start=\"2198\" data-end=\"2201\" \/>\n<h3 data-start=\"2203\" data-end=\"2283\"><strong data-start=\"2207\" data-end=\"2283\">7. Eletrofisiologia e interpreta\u00e7\u00e3o do ECG (base para efeitos do \u00e1lcool)<\/strong><\/h3>\n<p data-start=\"2284\" data-end=\"2434\">ROSENTHAL, L. S. <strong data-start=\"2301\" data-end=\"2347\">Normal electrocardiography (ECG) intervals<\/strong>. <em data-start=\"2349\" data-end=\"2359\">Medscape<\/em>, 2024.<br data-start=\"2366\" data-end=\"2369\" \/>Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/emedicine.medscape.com\" target=\"_new\" rel=\"noopener\" data-start=\"2384\" data-end=\"2416\">https:\/\/emedicine.medscape.com<\/a>. Acesso em: 2026.<\/p>\n<hr data-start=\"2436\" data-end=\"2439\" \/>\n<h3 data-start=\"2441\" data-end=\"2496\"><strong data-start=\"2445\" data-end=\"2496\">8. \u00c1lcool, sistema nervoso aut\u00f4nomo e arritmias<\/strong><\/h3>\n<p data-start=\"2497\" data-end=\"2684\">SPAULDING, C. M. et al. <strong data-start=\"2521\" data-end=\"2596\">Acute effects of alcohol on cardiac autonomic tone and arrhythmogenesis<\/strong>. <em data-start=\"2598\" data-end=\"2643\">Journal of Cardiovascular Electrophysiology<\/em>, Hoboken, v. 25, n. 4, p. 390\u2013397, 2014.<\/p>\n<h3 data-start=\"2691\" data-end=\"2732\"><strong data-start=\"2695\" data-end=\"2732\">9. \u00c1lcool e morte s\u00fabita card\u00edaca<\/strong><\/h3>\n<p data-start=\"2733\" data-end=\"2960\">LUCAS, D. L.; BROWN, R. A.; WASSEF, M.; GILES, T. D. <strong data-start=\"2786\" data-end=\"2866\">Alcohol and the cardiovascular system: research challenges and opportunities<\/strong>. <em data-start=\"2868\" data-end=\"2915\">Journal of the American College of Cardiology<\/em>, New York, v. 45, n. 12, p. 1916\u20131924, 2005.<\/p>\n<h2 data-start=\"2967\" data-end=\"3008\"><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>______________________________________________ Muitos n\u00e3o conhecem o efeito do \u00e1lcool sobre o cora\u00e7\u00e3o\u00a0 Philip Ettinger et al. cunharam o termo &#8220;s\u00edndrome do cora\u00e7\u00e3o p\u00f3s-feriado&#8221; , ou arritmia aguda por intoxica\u00e7\u00e3o et\u00edlica,\u00a0 como altera\u00e7\u00e3o aguda do ritmo card\u00edaco e\/ou dist\u00farbio da condu\u00e7\u00e3o associado ao consumo de grande quantidade de etanol na aus\u00eancia de outros ind\u00edcios cl\u00ednicos de doen\u00e7a [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":12332,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[34],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o - a Intoxica\u00e7\u00e3o Et\u00edlica. - Dr. Roberto Franco do Amaral Neto<\/title>\n<meta name=\"description\" content=\"Os efeitos do \u00e1lcool sobre cora\u00e7ao s\u00e3o muitas vezes desconhecidos da popula\u00e7\u00e3o e podem ser potencialmente graves,\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o - a Intoxica\u00e7\u00e3o Et\u00edlica. - Dr. Roberto Franco do Amaral Neto\" \/>\n<meta property=\"og:description\" content=\"Os efeitos do \u00e1lcool sobre cora\u00e7ao s\u00e3o muitas vezes desconhecidos da popula\u00e7\u00e3o e podem ser potencialmente graves,\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Roberto Franco do Amaral Neto\" \/>\n<meta property=\"article:published_time\" content=\"2021-12-28T11:14:04+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-25T17:51:28+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"800\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dr. Roberto Franco do Amaral Neto\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Roberto Franco do Amaral Neto\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\"},\"author\":{\"name\":\"Dr. Roberto Franco do Amaral Neto\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\"},\"headline\":\"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o &#8211; a Intoxica\u00e7\u00e3o Et\u00edlica.\",\"datePublished\":\"2021-12-28T11:14:04+00:00\",\"dateModified\":\"2026-01-25T17:51:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\"},\"wordCount\":971,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\"},\"image\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg\",\"articleSection\":[\"Problemas de Sa\u00fade\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\",\"name\":\"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o - a Intoxica\u00e7\u00e3o Et\u00edlica. - Dr. Roberto Franco do Amaral Neto\",\"isPartOf\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg\",\"datePublished\":\"2021-12-28T11:14:04+00:00\",\"dateModified\":\"2026-01-25T17:51:28+00:00\",\"description\":\"Os efeitos do \u00e1lcool sobre cora\u00e7ao s\u00e3o muitas vezes desconhecidos da popula\u00e7\u00e3o e podem ser potencialmente graves,\",\"breadcrumb\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg\",\"contentUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg\",\"width\":1200,\"height\":800,\"caption\":\"EFEITOS DO ALCOOL NO CORA\u00c7\u00c3O\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o &#8211; a Intoxica\u00e7\u00e3o Et\u00edlica.\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/\",\"name\":\"Dr. Roberto Franco do Amaral Neto\",\"description\":\"Sa\u00fade n\u00e3o \u00e9 aus\u00eancia de doen\u00e7a\",\"publisher\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"pt-BR\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\",\"name\":\"Dr. Roberto Franco do Amaral Neto\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png\",\"contentUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png\",\"width\":400,\"height\":364,\"caption\":\"Dr. Roberto Franco do Amaral Neto\"},\"logo\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/\"},\"sameAs\":[\"https:\/\/robertofrancodoamaral.com.br\/\"],\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/author\/dr_roberto\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o - a Intoxica\u00e7\u00e3o Et\u00edlica. - Dr. Roberto Franco do Amaral Neto","description":"Os efeitos do \u00e1lcool sobre cora\u00e7ao s\u00e3o muitas vezes desconhecidos da popula\u00e7\u00e3o e podem ser potencialmente graves,","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/","og_locale":"pt_BR","og_type":"article","og_title":"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o - a Intoxica\u00e7\u00e3o Et\u00edlica. - Dr. Roberto Franco do Amaral Neto","og_description":"Os efeitos do \u00e1lcool sobre cora\u00e7ao s\u00e3o muitas vezes desconhecidos da popula\u00e7\u00e3o e podem ser potencialmente graves,","og_url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/","og_site_name":"Dr. Roberto Franco do Amaral Neto","article_published_time":"2021-12-28T11:14:04+00:00","article_modified_time":"2026-01-25T17:51:28+00:00","og_image":[{"width":1200,"height":800,"url":"http:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg","type":"image\/jpeg"}],"author":"Dr. Roberto Franco do Amaral Neto","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Dr. Roberto Franco do Amaral Neto","Est. tempo de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#article","isPartOf":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/"},"author":{"name":"Dr. Roberto Franco do Amaral Neto","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6"},"headline":"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o &#8211; a Intoxica\u00e7\u00e3o Et\u00edlica.","datePublished":"2021-12-28T11:14:04+00:00","dateModified":"2026-01-25T17:51:28+00:00","mainEntityOfPage":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/"},"wordCount":971,"commentCount":0,"publisher":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6"},"image":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage"},"thumbnailUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg","articleSection":["Problemas de Sa\u00fade"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/","name":"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o - a Intoxica\u00e7\u00e3o Et\u00edlica. - Dr. Roberto Franco do Amaral Neto","isPartOf":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage"},"image":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage"},"thumbnailUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg","datePublished":"2021-12-28T11:14:04+00:00","dateModified":"2026-01-25T17:51:28+00:00","description":"Os efeitos do \u00e1lcool sobre cora\u00e7ao s\u00e3o muitas vezes desconhecidos da popula\u00e7\u00e3o e podem ser potencialmente graves,","breadcrumb":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#primaryimage","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg","contentUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2021\/12\/robertofrancodoamaral.com.br-efeitos-do-alcool-sobre-o-coracao-a-intoxicacao-etilica-efeitod-do-alcool-no-coracao.jpg","width":1200,"height":800,"caption":"EFEITOS DO ALCOOL NO CORA\u00c7\u00c3O"},{"@type":"BreadcrumbList","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/efeitos-do-alcool-sobre-o-coracao\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Efeitos do \u00c1lcool sobre o Cora\u00e7\u00e3o &#8211; a Intoxica\u00e7\u00e3o Et\u00edlica."}]},{"@type":"WebSite","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/","name":"Dr. Roberto Franco do Amaral Neto","description":"Sa\u00fade n\u00e3o \u00e9 aus\u00eancia de doen\u00e7a","publisher":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"pt-BR"},{"@type":["Person","Organization"],"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6","name":"Dr. Roberto Franco do Amaral Neto","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png","contentUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png","width":400,"height":364,"caption":"Dr. Roberto Franco do Amaral Neto"},"logo":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/"},"sameAs":["https:\/\/robertofrancodoamaral.com.br\/"],"url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/author\/dr_roberto\/"}]}},"_links":{"self":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts\/10693"}],"collection":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/comments?post=10693"}],"version-history":[{"count":3,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts\/10693\/revisions"}],"predecessor-version":[{"id":12334,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts\/10693\/revisions\/12334"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/media\/12332"}],"wp:attachment":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/media?parent=10693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/categories?post=10693"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/tags?post=10693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}