“…Studies in humans and in animal models have shown increased myocyte loss (due to apoptosis), intracellular organelle dysfunction, impaired protein synthesis and activity, and impaired calcium homeostasis in hearts exposed to high concentrations of ethanol (Fernández-Solà et al, 2006;Fogle et al, 2010;Jing et al, 2012;Laonigro et al, 2009;Piano and Phillips, 2014;Tan et al, 2012;Vary et al, 2007). Other effects of chronic ethanol consumption include activation of the sympathetic nervous system and renin-angiotensin system (RAS) (Da Silva et al, 2013;Husain et al, 2008;Resstel et al, 2006;Tan et al, 2012), and variable changes in cardiac natriuretic peptide levels (Da Silva et al, 2013;Guillaume et al, 1996;Kim et al, 2001Kim et al, , 2003. There is evidence that ethanol consumption enhances sympathetic activity (Resstel et al, 2006), which leads to cardiac dysfunction and remodeling (Li and Ren, 2008) and, consequently, to further deterioration of heart disease (Malpas, 2010).…”