%0 Journal Article %T Alcohol: friend or foe? %A Ricardo A. Gonz¨˘lez %J MEDICC Review %D 2011 %I Medical Education Cooperation with Cuba (MEDICC) %X Popular belief has it that alcohol, particularly red wine, protects against atherosclerosis and associated cardio- and cerebrovascular conditions. That presumption motivates this paper, which describes the mechanisms underlying the J-shaped risk curve for alcohol use, with benefits for vascular disease risk at low consumption levels and harmful effects-both directly on the user and indirectly on the bystander-at higher levels. The importance of further exploring alcohol use in patients with cardiovascular risk factors and of intervening to modify non-social use of alcohol to prevent serious adverse health consequences is also addressed. %K Alcohol-related disorders %K burden of illness %K atherosclerosis %K atherogenesis %K vascular disease %K risk factors %K Cuba %U http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1555-79602011000400011