01.12.2011 | Case report | Ausgabe 1/2011 Open Access
Acute coronary ischemia during alcohol withdrawal: a case report
- Zeitschrift:
- Journal of Medical Case Reports > Ausgabe 1/2011
Wichtige Hinweise
Electronic supplementary material
The online version of this article (doi:10.1186/1752-1947-5-369) contains supplementary material, which is available to authorized users.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
All authors participated in designing, article search, information coding and writing of the manuscript.
Abstract
Introduction
The potential of alcohol withdrawal to cause acute coronary events is an area that needs the urgent attention of clinicians and researchers.
Case presentation
We report the case of a 52-year-old heavy-alcohol-using Sri Lankan man who developed electocardiogram changes suggestive of an acute coronary event during alcohol withdrawal. Despite the patient being asymptomatic, subsequent echocardiogram showed evidence of ischemic myocardial dysfunction. We review the literature on precipitation of myocardial ischemia during alcohol withdrawal and propose possible mechanisms.
Conclusions
Alcohol withdrawal is a commonly observed phenomenon in hospitals. However, the number of cases reported in the literature of acute coronary events occurring during withdrawal is few. Many cases of acute ischemia or sudden cardiac deaths may be attributed to other well known complications of delirium tremens. This is an area needing the urgent attention of clinicians and epidemiologists.