TIME OF ONSET OF SUPRAVENTRICULAR TACHYARRHYTHMIA IN RELATION TO ALCOHOL-CONSUMPTION

被引:25
作者
KUPARI, M
KOSKINEN, P
机构
[1] Division of Cardiology, First Department of Medicine, Helsinki University Central Hospital, Helsinki
关键词
D O I
10.1016/0002-9149(91)90528-S
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
It is widely believed but has never been proved that idiopathic supraventricular tachyarrhythmias beginning during or after weekends or winter holidays are frequently alcohol-related ("holiday heart" syndrome). The time of arrhythmia onset was therefore studied in relation to self-reported ethanol consumption and results of a screening test for alcoholism (CAGE questionnaire) in 289 patients aged < 65 years admitted for supraventricular tachyarrhythmias. There were 102 patients having an etiologically idiopathic arrhythmia with a known time of onset. Among them, but not among those with disease-related arrhythmias, patients with arrhythmic episodes beginning on Saturdays or on Sundays were more often chronic alcohol abusers (9 of 19, 47%) than either patients with episodes beginning from Mondays through Fridays (18 of 83, 22%; p = 0.040) or control subjects from the out-of-hospital population (8 of 66, 12%; p = 0.002). In multivariate analysis, the time of arrhythmia onset was related to the CAGE response (G2 = 6.0, p = 0.014) but not to the most recent ethanol use. However, the increased frequency of problem drinkers among patients with weekend-onset idiopathic arrhythmias was only relative, and resulted from a decreased number of abstainers and non-problem drinkers. No conspicuous clustering of alcohol-related arrhythmias was seen after New Year's or May Day. Thus, although the present study confirms an association between heavy drinking and idiopathic arrhythmias beginning during weekends, it shows that the question may be of a relative rather than an absolute over-representation. The term holiday heart may also be somewhat misleading since no postholiday accumulation of alcohol-related arrhythmias was found.
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页码:718 / 722
页数:5
相关论文
共 21 条
[1]   COMPARISON OF CAGE QUESTIONNAIRE AND COMPUTER-ASSISTED LABORATORY PROFILES IN SCREENING FOR COVERT ALCOHOLISM [J].
BERESFORD, TP ;
BLOW, FC ;
HILL, E ;
SINGER, K ;
LUCEY, MR .
LANCET, 1990, 336 (8713) :482-485
[2]  
BERNADT MW, 1982, LANCET, V1, P325
[3]   SCREENING FOR ALCOHOL-ABUSE USING THE CAGE QUESTIONNAIRE [J].
BUSH, B ;
SHAW, S ;
CLEARY, P ;
DELBANCO, TL ;
ARONSON, MD .
AMERICAN JOURNAL OF MEDICINE, 1987, 82 (02) :231-235
[4]   ALCOHOL-USE AND SUPRAVENTRICULAR ARRHYTHMIA [J].
COHEN, EJ ;
KLATSKY, AL ;
ARMSTRONG, MA .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (13) :971-973
[5]   EFFECT OF WHISKEY ON ATRIAL VULNERABILITY AND HOLIDAY HEART [J].
ENGEL, TR ;
LUCK, JC .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1983, 1 (03) :816-818
[6]  
ENGEL TR, 1984, PRIMARY CARDIOL, P93
[7]   ARRHYTHMIAS AND HOLIDAY HEART - ALCOHOL-ASSOCIATED CARDIAC-RHYTHM DISORDERS [J].
ETTINGER, PO ;
WU, CF ;
DELACRUZ, C ;
WEISSE, AB ;
AHMED, SS ;
REGAN, TJ .
AMERICAN HEART JOURNAL, 1978, 95 (05) :555-562
[8]   HOLIDAY HEART ARRHYTHMIAS [J].
ETTINGER, PO .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1984, 5 (04) :540-542
[9]   DETECTING ALCOHOLISM - THE CAGE QUESTIONNAIRE [J].
EWING, JA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1984, 252 (14) :1905-1907
[10]   THE HOLIDAY HEART - ELECTROPHYSIOLOGIC STUDIES OF ALCOHOL EFFECTS IN ALCOHOLICS [J].
GREENSPON, AJ ;
SCHAAL, SF .
ANNALS OF INTERNAL MEDICINE, 1983, 98 (02) :135-139