Holiday Heart Syndrome Revisited after 34 Years

Tonelo, David; Providência, Rui; Gonçalves, Lino

doi:10.5935/abc.20130153

Cited by 61 publications

(57 citation statements)

References 27 publications

(78 reference statements)

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“…48 Arrhythmia Excessive ethanol consumption-in particular binge drinking-is associated with the development of a range of acute arrhythmias, which can be controlled by abstinence. 16,[49][50][51] Atrial extrasystoles and atrial fibrillation are the most common arrhythmias observed in the context of binge drinking (so-called 'holiday heart syndrome'), 49,52 but ventricular extrasystoles and tachycardia are more dangerous and can result in sudden death. 50,53 The acute arrhythmogenic effect of ethanol is infrequent in individuals with normal heart function, but is associated with established alcoholic dilated cardiomyopathy.…”

Section: Acute Cardiac Effects Of Alcoholmentioning

confidence: 99%

Cardiovascular risks and benefits of moderate and heavy alcohol consumption

2015

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The heart and vascular system are susceptible to the harmful effects of alcohol. Alcohol is an active toxin that undergoes widespread diffusion throughout the body, causing multiple synchronous and synergistic effects. Alcohol consumption decreases myocardial contractility and induces arrhythmias and dilated cardiomyopathy, resulting in progressive cardiovascular dysfunction and structural damage. Alcohol, whether at binge doses or a high cumulative lifetime consumption-both of which should be discouraged-is clearly deleterious for the cardiovascular system, increasing the incidence of total and cardiovascular mortality, coronary and peripheral artery disease, heart failure, stroke, hypertension, dyslipidaemia, and diabetes mellitus. However, epidemiological, case-control studies and meta-analyses have shown a U-type bimodal relationship so that low-to-moderate alcohol consumption (particularly of wine or beer) is associated with a decrease in cardiovascular events and mortality, compared with abstention. Potential confounding influences-alcohol-dose quantification, tobacco use, diet, exercise, lifestyle, cancer risk, accidents, and dependence-can affect the results of studies of both low-dose and high-dose alcohol consumption. Mendelian methodological approaches have led to doubts regarding the beneficial cardiovascular effects of alcohol, and the overall balance of beneficial and detrimental effects should be considered when making individual and population-wide recommendations, as reductions in alcohol consumption should provide overall health benefits.

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Section: Acute Cardiac Effects Of Alcoholmentioning

confidence: 99%

Cardiovascular risks and benefits of moderate and heavy alcohol consumption

2015

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“…Patients with these rhythm disturbances are usually healthy and do not have a personal or family history of heart disease. Mechanisms of these disorders remain unresolved, but suggested possibilities include cardiac conduction interference, refractory period shortening and increased sympathetic activity [16]. It is unlikely that light-moderate alcohol intake increases the risk of rhythm disturbances.…”

Section: Supraventricular Arrhythmiasmentioning

confidence: 99%

Alcohol and cardiovascular diseases: where do we stand today?

Klatsky

2015

J Intern Med

121

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Abstract. Klatsky AL (Northern California Kaiser Permanente, Oakland, CA, USA). Alcohol and cardiovascular diseases: where do we stand today?. (Review). J Intern Med 2015;278: 238-250.For centuries, multiple medical risks of heavy alcohol drinking have been evident with simultaneous awareness of a less harmful or sensible drinking limit. The increased risks of heavy drinking, defined as three or more standard-sized drinks per day, are both cardiovascular (CV) and non-CV. The CV risks include the following: (i) alcoholic cardiomyopathy (ACM), (ii) systemic hypertension, (iii) atrial arrhythmias, (iv) haemorrhagic stroke and, probably, ischaemic stroke. By contrast, modern epidemiological studies have shown lower morbidity and mortality amongst light-moderate drinkers, due mostly to a reduced risk of coronary artery disease (CAD), with contributions from ischaemic stroke and heart failure (HF). A low level of alcohol drinking has no clear relation to increased risk of any CV condition, except for haemorrhagic stroke. There is good evidence that supports the existence of mechanisms by which alcohol might protect against CAD, but the mechanisms for other alcohol-CV associations remain unclear. Interrelationships amongst the CV conditions affect the individual alcohol-disease relationships; for example, lower CAD risk in lightmoderate drinkers is to a large extent responsible for the reduced HF risk. International comparison data plus the presence of proposed beneficial nonalcohol components in wine (particularly in red wine) suggest that this beverage type might afford extra CAD protection. However, the effect of beverage choice is confounded by a healthier drinking pattern and more favourable risk traits in wine drinkers. Debate persists about methodological and public health issues related to the epidemiology of alcohol-related CV disease.

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“…Furthermore, in a review article Tonelo et al (2013) also examine the "Holiday heart syndrome", that is "the occurrence, in healthy people without heart disease known to cause arrhythmia, an acute cardiac rhythm disturbance, most frequently atrial …brilla-tion". They …nd evidence for this syndrome after binge drinking which might happen during Christmas time.…”

Section: Mistletoe and Wine -Alcohol Consumption During The Holidaysmentioning

confidence: 99%

Christmas Economics - A Sleigh Ride

Birg

Goeddeke

2014

SSRN Journal

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Abstract Do you believe that at Christmas time the gas prices, the economy and the number of suicides peak? Do you think that the value of presents you are giving to your beloved is of importance? We show in this paper that conventional wisdom about Christmas is often doubtful. Furthermore, we give an idea of how Santa Claus -and maybe you -is able to …nance Christmas celebrations, why emergency departments are a place to especially avoid during this time of the year and why Christmas tree growers might care to explain the di¤erences across species to you this year. We cannot clearly establish whether Christmas entails a welfare loss or gain, however, we give you an idea as to which institutional settings might reduce a potential welfare loss. Also, we give advice about which behaviours might get you more Christmas presents from Santa this year. Finally, we …nd that more research is needed to give conclusive reasons why Santa Claus actually brings presents to (nearly) everyone. Terms of use: Documents in EconStor mayJEL classi…cation: A12, D1, D6, E3, H4, I1, Z1, XM45

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Holiday Heart Syndrome Revisited after 34 Years

Cited by 61 publications

References 27 publications

Cardiovascular risks and benefits of moderate and heavy alcohol consumption

Cardiovascular risks and benefits of moderate and heavy alcohol consumption

Alcohol and cardiovascular diseases: where do we stand today?

Christmas Economics - A Sleigh Ride

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