tailieunhanh - Báo cáo y học: " Acute coronary ischemia during alcohol withdrawal: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acute coronary ischemia during alcohol withdrawal: a case report. | Rodrigo et al. Journal of Medical Case Reports 2011 5 369 http content 5 1 369 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Acute coronary ischemia during alcohol withdrawal a case report Chaturaka Rodrigo1 Dhanesha Seneviratne Epa1 Ganeshalingam Sriram1 and Saroj Jayasinghe2 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. Introduction The state of alcohol withdrawal is known for its life threatening complications such as delirium tremens. Several authors have observed the potential for it to cause acute coronary events 1 2 while others have observed subtle electrocardiogram ECG changes in patients during alcohol withdrawal 3 . We caution that this ominous complication should be expected and observed for while managing patients in alcohol withdrawal. We report the case of a man with acute coronary ischemia during alcohol withdrawal while under our care. Case presentation A 52-year-old Sri Lankan man was transferred to the University Medical Unit UMU at the National Hospital of Sri Lanka Colombo