Alcohol and Cardiac Arrhythmias

Rosenqvist, Mårten

doi:10.1111/j.1530-0277.1998.tb04385.x

Cited by 27 publications

(16 citation statements)

References 45 publications

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“…The benefits of alcohol consumption on both stroke and CHD are therefore discussed in the following section. In contrast, hypertension and other cardiovascular disorders such as cardiac arrhythmias and heart failure as well as ill-defined descriptions and complications of heart disease are adversely affected by alcohol [4, [66][67][68][69]. The weight of evidence suggests that hazardous and harmful levels of consumption cause hypertension in both men and women [13,[70][71][72][73][74].…”

Section: Cardiovascular Diseasementioning

confidence: 99%

Relation between Average Alcohol Consumption and Disease: An Overview

2001

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Objective: To conduct an overview of alcohol-related health consequences and to estimate relative risk for chronic consequences and attributable fractions for acute consequences. Methods: Identification of alcohol-related consequences was performed by means of reviewing and evaluating large-scale epidemiological studies and reviews on alcohol and health, including epidemiological contributions to major social cost studies. Relative risks and alcohol-attributable fractions were drawn from the international literature and risk estimates were updated, whenever possible, by means of meta-analytical techniques. Results: More than 60 health consequences were identified for which a causal link between alcohol consumption and outcome can be assumed. Conclusions: Future research on alcohol-related health consequences should focus on standardization of exposure measures and take into consideration both average volume of consumption and patterns of drinking.

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Section: Cardiovascular Diseasementioning

confidence: 99%

Relation between Average Alcohol Consumption and Disease: An Overview

2001

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“…In the second case, it is our opinion that it is inappropriate to represent this subject as a "…previously clinically healthy male…" Failure to collapse with the first 2 ECD applications in combination with physiological conditions known to be higher risk for sudden death, independent of ECD application, should create significant questions regarding statements of causation. [2][3][4] These examples create significant doubt with respect to ECD causation and may artificially inflate the presented case numbers. It is our opinion that it is difficult at best to make affirmative statements of causation based on these examples.…”

Section: To the Editormentioning

confidence: 99%

Letter by Ho and Dawes Regarding Article, “Sudden Cardiac Arrest and Death Following Application of Shocks From a TASER Electronic Control Device”

Dawes

2013

Circulation

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1 where Zipes focused on the issue of sudden death related to law enforcement restraint. We are emergency medicine physicians and also sworn peace officers. We have also examined these cases in detail. We are concerned that potential misinterpretation of these cases will lead to the unintended consequence of elevated officer and suspect morbidity and mortality.In this analysis, it is our opinion that several facts were missed, dismissed, or misunderstood. This has led to an overreaching association between the ECD and sudden death in several cases. An example includes one of the cases where there is video, forensic, and metallurgic evidence indicating no ECD probe contacting the subject's chest and no current conducted through the probes (meaning the officer missed). Another example is a separate case where the subject had a long QT interval (QTc >480 ms), was on chronic antipsychotic medication, and had a 0.35% blood alcohol level around the time of the incident. This case involved significant physical resistance and required 3 ECD applications in the same body location. In the first case it is difficult to conclude that the ECD induced cardiac arrest because an incomplete electrical circuit was present. In the second case, it is our opinion that it is inappropriate to represent this subject as a "…previously clinically healthy male…" Failure to collapse with the first 2 ECD applications in combination with physiological conditions known to be higher risk for sudden death, independent of ECD application, should create significant questions regarding statements of causation.2-4 These examples create significant doubt with respect to ECD causation and may artificially inflate the presented case numbers. It is our opinion that it is difficult at best to make affirmative statements of causation based on these examples.We agree with Zipes 1 that sudden death after ECD deployment occurs infrequently. However, we are concerned that his case series provides an opinion of these cases that a lay public will misinterpret as fact. This will potentially lead to restricted availability of ECDs for professionals who need them to deal with complex, dynamic, and high-risk situations. It is our opinion that the unintended effect will be to resort to control methods with a guaranteed risk of significant injury and death, such as impact weapons or firearms. DisclosuresDr Ho is the medical director of, and Dr Dawes is an expert medical consultant for, TASER International, Inc. Both personally own shares of stock in the company and have provided expert witness testimony in litigation involving ECDs. References1. Zipes DP. Sudden cardiac arrest and death following application of shocks from a TASER electronic control device. Circulation.

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“…Кроме того, у лиц со структурными изменениями серд-ца эти эффекты усиливаются, особенно при длительном приеме алкогольных напитков [46,47].…”

Section: фж -фибрилляция желудочков жт -желудочковая тахикардияunclassified

Alcohol and Heart Rhythm Disorders

Yusupova

Лишута

2015

Racionalʹnaâ farmakoterapiâ v kardiologii

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Первый Московский государственный медицинский университет им. И.М. Сеченова 119991, Москва, ул. Трубецкая, 8, стр. 2 Избыточное потребление алкоголя, а тем более продолжение потребления алкоголя при алкогольной болезни, увеличивает риск развития нарушений ритма сердца и утяжеляет уже имеющиеся аритмии. При этом из-за недостаточной оценки природы этих аритмий пациенты не всегда получают специфическое лечение. Злоупотребление алкоголем и алкогольную зависимость, включая ее кардиальные осложнения, в том числе нарушения ритма сердца, необходимо вести с использованием, как анти-аритмических средств, так и противоалкогольных препаратов и антидепрессантов. В статье освещены вопросы диагностики и ведения пациентов с алкоголь-индуци-рованными нарушениями сердечного ритма. Ключевые слова: нарушения ритма, этанол, алкогольная зависимость, антиаритмические средства, налмефен. Alcohol abuse and particularly extension of alcohol consumption in alcohol diseas increases the risk of cardiac arrhythmias development and aggravates existing arrhythmias. Patients do not always receive the necessary specific treatment due to lack of detection of the ethanol genesis of these arrhythmias. Management of patients with alcohol abuse and alcohol dependence, including its cardiac complications among other cardiac arrhythmias should use both antiarrhythmic and anti-alcohol drugs and antidepressants. Such issues as diagnosis and management of patients with alcohol-induced cardiac arrhythmias are presented.

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Alcohol and Cardiac Arrhythmias

Abstract: Chronic alcohol overconsumption increases the risk for sudden death presumably due to ventricular arrhythmias. This paper is a review of the mechanisms behind alcohol-induced arrhythmias and describe the incidence of alcohol-related ventricular arrhythmias.

Cited by 27 publications

References 45 publications

Relation between Average Alcohol Consumption and Disease: An Overview

Relation between Average Alcohol Consumption and Disease: An Overview

Letter by Ho and Dawes Regarding Article, “Sudden Cardiac Arrest and Death Following Application of Shocks From a TASER Electronic Control Device”

Alcohol and Heart Rhythm Disorders

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