Greetings. Thank you for your question and welcome to HCM. I understand your concern.
I do not think that you have to worry about a
heart attack, as it is related with the blockages or narrowing within the coronary arteries, nothing to do with the
heart rate. Posing the heart in a constant hyper-dynamic state by increasing its workload (from
ethanol ingestion), puts the heart in a constant demand for
oxygen, which can affect the coronary
artery supply and, in long-term, pose you to a risk for heart attack. In the heart rate point of view, alcohol affect the heart rate by increasing it, both with neurohormonal and vascularization mechanisms. This raise in heart beat can also be accompanied with
shortness of breath. This is nothing that demand treatment. It merely requires discontinuation of constant heavy drinking episodes. It is estimated that there is a quantity of ethanol that is not harmful for the organism: 30 g a day (two beers, one glass of wine or one shot of heavy drinks such as vodka, gin, whiskey etc). Therefore, my recommendation is to stop the heavy drinking and limit it to the quantity mentioned above. So, yes, you can go to work, but you have to limit the alcohol intake.
I hope I have been of help. Wish you a good health.
Best regards,
Dr. Meriton