Walia Rohit, Kaur Sirat
Associate Professor & Head of Department of Cardiology, Maharishi Markandeshwar Medical College, Sadopur, Ambala, Haryana, India.
Ex Associate Professor, Department of Cardiology, Christian Medical College, Ludhiana, Punjab, India.
J Family Med Prim Care. 2024 Aug;13(8):3424-3426. doi: 10.4103/jfmpc.jfmpc_1046_23. Epub 2024 Jul 26.
A young male patient had palpitations after consumption of few high caffeinated energy drinks which he took after his office hours to relieve fatigue. He immediately seeked medical help. Electrocardiogram showed multiple runs of non-sustained ventricular tachycardia and ventricular bigeminy and trigeminy. Echocardiography was normal. The patient was admitted to intensive care unit and treated with anti-arrhythmic drugs to which the arrhythmias responded and subsided. Cardiac magnetic resonance imaging of heart did not reveal any structural heart abnormality and treadmill stress test was negative ruling out significant coronary artery disease. High caffeinated energy drinks can produce serious ventricular arrhythmias if taken beyond safe doses. These ventricular arrhythmias are known to be causative factor for sudden cardiac arrest and therefore a caution & regulation is needed in widespread unrestricted used of these drinks.
一名年轻男性患者在下班后饮用了几杯高咖啡因能量饮料以缓解疲劳后出现心悸。他立即寻求医疗帮助。心电图显示多次非持续性室性心动过速以及室性二联律和三联律。超声心动图正常。患者被收入重症监护病房，接受抗心律失常药物治疗，心律失常得到缓解。心脏磁共振成像未发现任何心脏结构异常，跑步机压力测试为阴性，排除了严重冠状动脉疾病。高咖啡因能量饮料如果超过安全剂量饮用，可能会导致严重的室性心律失常。已知这些室性心律失常是心脏骤停的致病因素，因此在广泛无限制使用这些饮料时需要谨慎并进行监管。
