Alcohol and cardiac arrhythmias.

Koskinen, Pekka; Kupari, Markku

doi:10.1136/bmj.304.6839.1394

Cited by 26 publications

(10 citation statements)

References 17 publications

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“…48,49 Moreover, heavy alcohol consumption enhances the probability of both atrial and life-threatening ventricular arrhythmias and atrioventricular block through the destabilization of potassium and magnesium metabolism and the stimulation of catecholamine. 50 To our knowledge, a plausible explanation of a decreased risk of stroke with light-moderate alcohol consumption is that alcohol elevates the concentration of high-density lipoprotein cholesterol, reduces platelet aggregation, enhances fibrinolysis, and thereby decreases plasma fibrinogen level. 49,51 …”

Section: Discussionmentioning

confidence: 98%

Dietary Patterns and Risk of Stroke in Adults: A Systematic Review and Meta-analysis of Prospective Cohort Studies

Zhang

Shu

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussionmentioning

confidence: 98%

Dietary Patterns and Risk of Stroke in Adults: A Systematic Review and Meta-analysis of Prospective Cohort Studies

Zhang

Shu

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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“…This type of atrial fibrillation usually terminates spontaneously or after treatment with P-blockers within 24 to 48 hr. 33 T h~r n t o n~~ reported about four previously healthy nonalcoholic subjects who experienced atrial fibrillation after an alcoholic binge, suggesting that atrial fibrillation can occur also in subjects without a history of chronic alcohol overconsumption.…”

Section: Supraventricular Arrhythmias and Alcohol Consumptionmentioning

confidence: 98%

Alcohol and Cardiac Arrhythmias

Rosenqvist

1998

Alcoholism Clin & Exp Res

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“…Heavy alcohol consumption enhances the probability of both atrial and lifethreatening ventricular arrhythmias and atrioventricular block through the destabilization of potassium and magnesium metabolism and the stimulation of catecholamine. 28,29 Further, women have lower alcohol dehydrogenase activity in the liver than men, 30 so that women have higher blood alcohol concentrations than men after ingestion of the same dose of alcohol, even when the dose is adjusted for body weight. 31 The Nurse's Health study 19 did not find the excess mortality, but the number of deaths among heavy drinkers of Ն30g ethanol per day in that cohort was also small (nϭ9).…”

Section: Discussionmentioning

confidence: 99%

Alcohol Consumption and Mortality From Stroke and Coronary Heart Disease Among Japanese Men and Women

Ikehara

Iso

Toyoshima

et al. 2008

Stroke

117

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Background and Purpose-Previous studies have demonstrated the association between alcohol consumption and cardiovascular mortality. However, the sex-specific association between alcohol consumption and mortality from stroke and coronary heart disease remains unclear. Methods-Between 1988 and 1990, 34 776 men and 48 906 women aged 40 to 79 years completed a self-administered questionnaire including information about alcohol consumption. They were followed-up for a median duration of 14.2 years. Results-Of the 83 682 respondents, 1628 died from stroke and 736 died from coronary heart disease. For men, heavy drinking (Ն46.0 g ethanol/day) was associated with increased mortality from total, hemorrhagic, and ischemic strokes, whereas light-to-moderate drinking was associated with reduced mortality from total cardiovascular disease, compared with not drinking. The respective multivariable hazard ratios (95% CI) were 1.48 (1.22 to 1.80) for total stoke, 1.67 (1.17 to 2.38) for hemorrhagic stroke, 1.35 (1.04 to 1.75) for ischemic stroke, and 0.88 (0.78 to 1.00) for total cardiovascular disease. Women who were heavy drinkers (Ն46.0 g ethanol/day) showed increased mortality from coronary heart disease, and there was reduced mortality from total cardiovascular disease for drinkers of 0.1 to 22.9 g ethanol per day compared with mortality for nondrinkers. The respective multivariable hazard ratios (95% CI) for the 2 categories of drinkers were 4.10 (1.63 to 10.3) and 0.75 (0.62 to 0.91). Conclusions-Heavy alcohol consumption is associated with increased mortality from total stroke, particularly hemorrhagic stroke, and total cardiovascular disease for men, and from coronary heart disease for women, whereas light-to-moderate drinking may be associated with reduced mortality from cardiovascular disease for both sexes.

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Alcohol and cardiac arrhythmias.

Cited by 26 publications

References 17 publications

Dietary Patterns and Risk of Stroke in Adults: A Systematic Review and Meta-analysis of Prospective Cohort Studies

Dietary Patterns and Risk of Stroke in Adults: A Systematic Review and Meta-analysis of Prospective Cohort Studies

Alcohol and Cardiac Arrhythmias

Alcohol Consumption and Mortality From Stroke and Coronary Heart Disease Among Japanese Men and Women

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