In this study we confirmed the well known association between alcohol consumption and incidence of hard coronary events.5 6 7 8 Conversely, no association was observed for all types of incident angina pectoris or when subtypes of angina, both stable and unstable, were tested separately (data not shown). These findings suggest that the pathophysiological mechanism of the effect of drinking on ischaemic heart disease and its clinical expression are more likely to be related to thrombosis than to atherosclerosis.35