Acute coronary events during alcohol withdrawal

Cardiac Complications of Common Drugs of Abuse: Pharmacology, Toxicology, and Management

“…[60][61][62][63] Rapid withdrawal of alcohol might increase the risk of coronary events and QT prolongation. 64,65 ACM is a major cardiac complication secondary to alcohol consumption and a leading cause of nonischemic cardiomyopathy, comprising approximately 21%-36% of all nonischemic cardiomyopathies (Fig. 2).…”

“…69 Upon presentation to hospital, alcohol withdrawal can be serious, the mainstay of treatment is the use of the benzodiazepines and the Clinical Institute Withdrawal Assessment for AlcoholeRevised (CIWA-Ar) but consideration of QT monitoring should also be given. 64,65,70 Pharmacotherapies currently established for alcohol abstinence or reduction of alcohol consumption are targeted at reducing the psychological craving associated with alcohol ingestion and often involve specialized teams and medical therapy tailored to the patients' clinical and demographic characteristics. Treatment of heart failure secondary to ACM is nonspecific outside of targeted alcohol cessation/reduction.…”