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While moderate alcohol consumption may provide benefits that include reducing your risk of heart disease and diabetes, consuming too much often damages the liver and contributes to alcoholism. The effect alcohol has on your blood pressure is also related to how much you drink, and heavy drinking causes it to rise.
The cardiovascular effects of habitual heavy drinking and frequent binge drinking are well-known, and they're not pretty. This is where the effects can become long-term. Alcohol-induced hypertension is the most common form of secondary hypertension (high blood pressure caused by an underlying condition). Blood pressure fluctuates wildly during and after drinking binges, which creates a major stroke risk. And prolonged heavy drinking can result in clogged, hardened arteries.