Krasniqi A, Bostaca I, Dima-Cosma Corina, Crişu Daniela, Aursulesei Viviana
Centrul Clinic Universitar Prishtine, Kosovo.
Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec;115(4):1052-6.
Acute or chronic excessive consumption of alcohol can cause cardiac arrhythmias, particularly supraventricular tachyarrhythmias. Experimental and clinical data show that chronic excessive alcohol ingestion has a destructive role on cardiac tissue, which significantly deteriorates the rhythm and contractile activity, manifested by the appearance of cardiac arrythmias and dilated cardiomyopathy.
The aim of this study was to evaluate and analyze the ECG changes and disturbances of cardiac rhythm and conduction in patients after an acute or chronic excessive consumption of alcohol.
The study included 187 patients (184 males and 3 females). Each patient followed biochemical and hematological analysis as well as paraclinical investigation measurements.
The most common types of arrhythmia were permanent atrial fibrillation (61%). Paroxysmal atrial fibrillation and supraventricular extrasystoles were found in patients without significant echocardiographic deteriorations. These arrhythmias appeared after an excessive alcohol drinking and paroxysmal atrial fibrillation was converted to normal sinus rhythm after a short period of abstinence or after pharmacologic therapy. Ventricular arrhythmias (ventricular extrasystoles, non-sustained ventricular tachycardia-4.7%, torsada de point-1.5%) were less frequent. Conduction disturbance (left bundle branch-LBBB 6.3%, right bundle branch-RBBB 10%) were found in patients who had a history of consuming >150 g/day of alcohol for >10 years, with dilated heart chambers and systolic ventricular function much more deteriorated (symptomatic stage of heart failure).
Excessive alcohol consumption may lead to cardiac arrhythmias in patients with existing heart disease as well as in healthy individuals.
急性或慢性过量饮酒可导致心律失常，尤其是室上性快速心律失常。实验和临床数据表明，慢性过量饮酒对心脏组织具有破坏作用，会显著恶化心律和收缩活动，表现为心律失常和扩张型心肌病。
本研究旨在评估和分析急性或慢性过量饮酒患者的心电图变化以及心律和传导紊乱情况。
该研究纳入了187例患者（184例男性和3例女性）。每位患者均接受了生化和血液学分析以及辅助临床检查测量。
最常见的心律失常类型是永久性心房颤动（61%）。阵发性心房颤动和室上性早搏见于超声心动图无明显恶化的患者。这些心律失常在过量饮酒后出现，阵发性心房颤动在短期戒酒或药物治疗后可转为正常窦性心律。室性心律失常（室性早搏、非持续性室性心动过速 - 4.7%，尖端扭转型室速 - 1.5%）较少见。传导障碍（左束支传导阻滞 - LBBB 6.3%，右束支传导阻滞 - RBBB 10%）见于有每日饮酒>150克超过10年病史、心腔扩大且心室收缩功能严重恶化（心力衰竭症状期）的患者。
过量饮酒可能导致现有心脏病患者以及健康个体出现心律失常。
