A cardiologist warns that your favorite daily beverages might be silently damaging your heart, with energy drinks posing unexpected dangers that rival traditional heart health concerns.

At a Glance

  • Caffeine in coffee and energy drinks can affect heart health by stimulating the nervous system and releasing fatty acids from tissue.
  • Energy drinks pose significant cardiovascular risks due to their high caffeine and sugar content, with documented cases of serious heart complications.
  • Alcohol's perceived heart benefits are questionable, while excessive consumption is linked to cardiomyopathy and other serious heart conditions.
  • Sugar-laden beverages like sodas and sweetened coffee drinks contribute to weight gain and increased triglycerides, damaging heart health over time.

The Caffeine Conundrum

Caffeine, a stimulant found in coffee, tea, chocolate, and energy drinks, affects your cardiovascular system in multiple ways. According to the American Heart Association, caffeine stimulates the central nervous system and releases free fatty acids from adipose tissue. It also affects kidney function by increasing urination, which can potentially lead to dehydration. For most healthy adults, moderate coffee consumption—about 4 to 5 cups daily as suggested by the FDA—is generally considered safe for heart health.

However, sensitivity to caffeine varies widely. People with certain health conditions or those taking specific medications may experience stronger effects from caffeine consumption. Pregnant and lactating women should limit their intake to 2 to 3 cups daily, while the American Academy of Pediatrics recommends children and adolescents avoid caffeine entirely. If you suddenly stop consuming caffeine, be prepared for withdrawal symptoms like headaches, anxiety, and fatigue, which typically resolve within 24 to 48 hours.

Energy Drinks: A Modern Heart Health Threat

While traditional caffeine sources like coffee have been studied extensively, energy drinks represent a relatively new and potentially more dangerous threat to heart health. Dr. Evan Levine, a cardiologist, specifically warns about energy drinks due to their extremely high caffeine and sugar content. These beverages can cause dramatic spikes in heart rate and blood pressure, potentially triggering serious cardiac events. The danger is amplified because energy drinks often contain other stimulants in addition to caffeine, creating a synergistic effect on the cardiovascular system.

The risks aren't merely theoretical. Dr. Levine points to documented cases, including a young woman who died from a heart attack linked to energy drink consumption. The combination of caffeine, sugar, and other stimulants can be particularly dangerous for individuals with underlying heart conditions—even those that haven't been diagnosed yet. For adolescents and young adults who frequently consume these beverages, the long-term cardiovascular effects remain concerning and not fully understood.

Alcohol: Separating Fact from Fiction

The relationship between alcohol and heart health is complex and often misunderstood. While some studies suggest moderate alcohol consumption may be linked to lower heart disease risk, Johns Hopkins Medicine cautions that this correlation doesn't necessarily indicate causation. The popular belief that red wine in particular benefits heart health stems partly from observations that it contains antioxidants and may slightly increase "good" HDL cholesterol levels. However, these potential benefits can be obtained through healthier means like exercise and consuming fruits and vegetables.

Moderation is defined specifically as one drink per day for women and one or two for men, with a "drink" being 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of spirits. Beyond these limits, alcohol's negative effects quickly outweigh any potential benefits. Excessive alcohol consumption is associated with high blood pressure, heart failure, stroke, and cardiomyopathy—a condition where the heart muscle becomes enlarged, thick, or rigid. Certain individuals, including those with heart rhythm abnormalities or heart failure, should avoid alcohol entirely.

Sugary Beverages: Silent Heart Saboteurs

Sugar-laden drinks like sodas and specialty coffee beverages represent another significant threat to heart health. According to Dr. Levine, beverages like the Starbucks Frappuccino combine the stimulating effects of caffeine with dangerous levels of sugar. This combination can be particularly risky for people with existing heart conditions. Regular soda consumption contributes to weight gain and increased triglyceride levels, both risk factors for heart disease. The high sugar content also increases diabetes risk, which further compounds cardiovascular concerns.

The American Heart Association recommends limiting added sugar to no more than 9 teaspoons (36 grams) per day for men and 6 teaspoons (25 grams) for women. A single 12-ounce can of soda contains approximately 39 grams of sugar, exceeding the daily recommended limit. Over time, regular consumption of these beverages can lead to significant weight gain and metabolic changes that negatively impact heart health, even in individuals who otherwise maintain healthy lifestyles.

Making Heart-Conscious Beverage Choices

Protecting your heart begins with informed beverage choices. Water remains the healthiest option for hydration. If you enjoy caffeine, plain coffee or tea in moderate amounts is generally acceptable for most healthy adults. For those who consume alcohol, strict moderation is key, though non-alcoholic alternatives provide similar enjoyment without the risks. When it comes to sweet beverages, reducing consumption or choosing naturally flavored water can significantly benefit heart health over time.

If you're concerned about how your beverage choices might affect your heart health, consulting with a healthcare professional is recommended. Individual factors like age, existing health conditions, medications, and family history all influence how different beverages affect your cardiovascular system. By making intentional choices about what you drink, you can take an important step toward protecting your heart for years to come.

Sources:

https://www.jeffersonhealth.org/your-health/living-well/can-energy-drinks-hurt-your-heart

https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/caffeine-and-heart-disease

https://www.hopkinsmedicine.org/health/wellness-and-prevention/alcohol-and-heart-health-separating-fact-from-fiction

https://nypost.com/2025/03/31/health/4-worst-drinks-for-heart-health-according-to-a-cardiologist/