RT Journal A1 Wiese JG, Shlipak M T1 ALcohol use as a prognostic factor following myocardial infarction JF JAMA JO JAMA YR 2001 FD July 11 VO 286 IS 2 SP 165 OP 165 DO 10.1001/jama.286.2.165 UL http://dx.doi.org/10.1001/jama.286.2.165 AB To the Editor: Dr Mukamal and colleagues1 found moderate alcohol consumption during the year prior to myocardial infarction to be independently associated with reduced mortality risk during the subsequent year. Subjects were asked to report their weekly consumption of alcohol but not the rate at which it was consumed. We believe that the distinction between the daily consumption of small amounts of alcohol and infrequent binge drinking is crucial. Among the many potential adverse consequences of binge drinking is the frequency of the alcohol hangover, which was not assessed in the study of Mukamal et al.