Hemorrhagic stroke after consumption of an energy drink

Venkatraman, Anand; Khawaja, Ayaz; Shapshak, Angela Hays

doi:10.1016/j.ajem.2016.10.022

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…A review of the literature reveals numerous studies suggesting that EDs can lead to various side effects [7,25,26], and in some cases, sudden deaths have been reported [27]. To the best of our knowledge, this study is the first to evaluate the prevalence of ED consumption among medical university students at the University of Mosul.…”

Section: Discussionmentioning

confidence: 92%

Knowledge and Consumption Practice of Energy Drinks among Medical University Students in Mosul, Iraq

Shanshal,

Youssef,

Ahmed

et al. 2024

Jordan j. pharm. sci.

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Objective: Energy drinks are gaining popularity, and their consumption is associated with adverse effects. This study aims to explore the level of knowledge regarding energy drinks among medical students and the practices of those students who consume these products. Methods: A cross-sectional, questionnaire-based study design was adopted for this work. The survey was distributed among students of medical colleges at the University of Mosul to assess their knowledge and practices regarding energy drinks. Results: A total of 1298 students participated in the study, with 60% being females. Most of the students (89%) knew what energy drinks are, but only 42% knew their ingredients. Almost all the students (95%) were aware that energy drinks have adverse effects, but only a few knew about any beneficial effects these products might have. Only 30% of the participants admitted to consuming energy drinks, with more than half of those students drinking less than five cans monthly. Sugar-containing products were more favored than sugar-free ones, and Tiger™ was the most preferred brand of energy drinks among students. Forty-one percent of the energy drink-consuming students reported experiencing side effects. The knowledge of the side effects of energy drinks was the most commonly reported reason for not consuming these beverages. Older male students in their last two years of study and those living within the city were found to be more knowledgeable about energy drinks. Conclusions: The level of knowledge regarding energy drinks was low, which should be a cause for concern, especially given the increasing popularity of energy drinks and the marketing campaigns targeting youth.

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Section: Discussionmentioning

confidence: 92%

Knowledge and Consumption Practice of Energy Drinks among Medical University Students in Mosul, Iraq

Shanshal,

Youssef,

Ahmed

et al. 2024

Jordan j. pharm. sci.

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“…Caffeine has been involved in all 3 previously reported cases 2–4 and 2 further with energy drink consumption. 5,6 Caffeine is associated with increased risk of intracerebral hemorrhage due to its sympathomimetic effects causing vasospasm, tachycardia, and hypertension. 2 Creatine was also present in several of our patient's supplements, and various formulations have been implicated in previous episodes of hemorrhagic stroke.…”

Section: Discussionmentioning

confidence: 99%

Preworkout Supplement Induced Hemorrhagic Stroke: A Case Report

Amatto

2020

Clinical Journal of Sport Medicine

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Hemorrhagic stroke is a catastrophic cause of both long-term morbidity and mortality. Many risk factors for development of these strokes are in fact preventable or modifiable in nature. This case report outlines an incident involving a previously healthy 24-year-old man with no apparent risk factors apart from consumption of preworkout supplementation who developed a hemorrhagic stroke. The supplements that this particular patient was consuming included various potential causative agents—with the most significant being Dendrobium extract, which contains compound B-phenylethylamine, a precursor in the amphetamine formation pathway. This case study highlights the potential correlation between the consumption of preworkout supplementation and occurrence of hemorrhagic stroke, as well as the implications of understanding potential effects of the constituent ingredients in commercially available preworkout supplements.

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“…The proportion of subjects reporting tremors, headache and insomnia increased significantly with mean caffeine intake, especially when >240 mg Calabrò et al 37 Case report 2012 1 A 20-year-old man presenting with a generalised epileptic seizure after energy drink consumption Babu et al 38 Case report 2012 1 New-onset epileptic seizures in an adolescent man after consumption of an energy drink Matuszkiewicz et al 39 Case report 2015 1 A 26-year-old man lost consciousness after ingestion of ethyl alcohol mixed with an energy drink. He presented to the ER with GCS 8 and subsequently developed seizures requiring thiopental and endotracheal intubation Samanta 40 Case report 2015 1 A 16-year-old previously healthy boy with reversible cerebral vasoconstriction syndrome presenting after consumption of an energy drink Grant et al 41 Case report 2016 1 A severe case of catheter induced vasospasm during an attempted endovascular repair of a ruptured anterior communicating artery aneurism after consumption of a large dose of Edk Venkatraman et al 42 Case report 2017 1 A 57-year-old man with a history of haemorrhagic stroke and hypertension, developing an intracranial haemorrhage after consuming a can of an energy drink Edks, energy drinks; ER, emergency room; GCS, Glasgow coma scale. 43 Prospective study 1975 -Decaffeinated coffee induces gastric acid secretion similarly to regular coffee.…”

Section: Energy Drinks and Arrhythmiasmentioning

confidence: 99%

“…37,38 Cerebrovascular complications due to cerebral vasospasm, related to Edks have been described. 40 Venkatraman and colleagues 42 described the case of a 57-year-old man with a history of haemorrhagic stroke and hypertension, who developed an intracranial haemorrhage after consuming a can of a heavily caffeinated (with multiple other sympathomimetic ingredients) Edk. Also, the literature describes a case of severe catheter induced vasospasm during an attempted endovascular repair of a ruptured anterior communicating artery aneurism after consumption of a large dose of Edks.…”

Section: Neurological Effectsmentioning

confidence: 99%

Energy drinks: a narrative review of their physiological and pathological effects

Piccioni

Covino

Zanza

et al. 2021

Internal Medicine Journal

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The consumption of energy drinks (Edks) has increased significantly in past years, with a growing market that is estimated to reach $61 billion by 2021 worldwide. Several studies demonstrated the physiological and pathological effects of these substances contained in Edks. The most common ingredient contained in Edks is caffeine, which is commonly mixed with taurine, and B-group vitamins. Scientific evidence of potentially serious adverse health effects are known, but it would be better to acquire more information regarding these beverages. We systematically checked Medical literature on MEDLINE-Pubmed from inception to January 2020 to find studies and reports on Edks and adverse events. Edks consumption is specially related to cardiovascular effects as malignant arrhythmias. We found a significant focus on arrhythmogenic risk in patients affected by long QT syndrome or other predisposing conditions for QT elongation. Other pathological effects are known as gastrointestinal, vascular and neurological disorders. Edks, as well as all caffeinated beverages, should be taken with caution or avoided in select populations, such as patients suffering from cardiovascular or neurological illnesses; their use can unmask a sleepy life-threatening disease. MethodsWe checked the medical literature on MEDLINE-Pubmed from inception to January 2020. The search strings were:

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Hemorrhagic stroke after consumption of an energy drink

Cited by 9 publications

References 6 publications

Knowledge and Consumption Practice of Energy Drinks among Medical University Students in Mosul, Iraq

Knowledge and Consumption Practice of Energy Drinks among Medical University Students in Mosul, Iraq

Preworkout Supplement Induced Hemorrhagic Stroke: A Case Report

Energy drinks: a narrative review of their physiological and pathological effects

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