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Coffee, Alcohol, and Salt: The Good, the Bad, and the Ugly for Your Heart

Dr. Mohammad Jaradat

By: Mohammad Jaradat, MD, Cardiologist

When it comes to heart health, three common elements in our daily lives often spark debate: coffee, alcohol, and salt. Many of us consume at least two of these regularly, but what does science say about their impact on cardiovascular health? Let’s break down the evidence.

Coffee: A Surprising Ally?

Coffee is one of the most widely consumed beverages worldwide, and research suggests that moderate intake—typically 2 to 4 cups of filtered coffee per day—may actually benefit the heart. Studies have linked moderate coffee consumption to a lower risk of certain cardiovascular conditions, possibly due to its antioxidant properties and positive effects on metabolism. However, this doesn’t mean coffee is risk-free. Individuals with irregular heart rhythms, such as atrial fibrillation, may be advised to limit caffeine intake, as it can sometimes trigger palpitations or worsen arrhythmias. The key takeaway? For most people, moderate coffee consumption appears safe and may even be protective, but those with heart rhythm issues should consult their healthcare provider.

Alcohol: A Complicated Relationship

Alcohol’s impact on heart health is far more complex. Heavy drinking is clearly harmful, increasing the risk of high blood pressure, heart failure, stroke, and other serious conditions. On the other hand, some studies suggest that low levels of alcohol—defined as less than one drink per day for women and less than two for men—may have a neutral or slightly protective effect against coronary heart disease and stroke. However, these findings are not strong enough to recommend starting alcohol consumption for heart health. In fact, experts agree that if you don’t drink, there’s no reason to begin. For those who do drink, moderation is critical, and avoiding binge drinking is essential.

Salt: The Clear Villain

Unlike coffee and alcohol, the evidence on salt is straightforward. High sodium intake is strongly associated with increased blood pressure, which is a major risk factor for heart disease and stroke. Excess salt can also worsen conditions like congestive heart failure. Reducing salt intake has been shown to lower blood pressure and decrease cardiovascular risk. Practical steps include limiting processed foods, avoiding excessive use of table salt, and reading nutrition labels carefully. For most adults, aiming for less than 2,300 mg of sodium per day—and ideally closer to 1,500 mg—is recommended for optimal heart health.

The Bottom Line

When it comes to your heart, salt is the clear enemy and should be minimized. Coffee, in moderation, is likely beneficial for most people, while alcohol should never be consumed with the goal of improving heart health. Making informed choices about these everyday substances can go a long way toward protecting your cardiovascular well-being.

 


References:

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Lichtenstein AH, Appel LJ, Vadiveloo M, et al. Circulation. 2021;144(23):e472-e487. doi:10.1161/CIR.0000000000001031.

 

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Kong F, Liu Q, Zhou Q, et al. Annals of Medicine. 2025;57(1):2582065. doi:10.1080/07853890.2025.2582065.

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  1. Alcohol Use and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Piano MR, Marcus GM, Aycock DM, et al. Circulation. 2025;152(1):e7-e21. doi:10.1161/CIR.0000000000001341.
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