Life-threatening ventricular tachyarrhythmias associated with holiday heart syndrome: Treatment with the automatic implantable cardioverter defibrillator

K. C. Russ, Morton Maimon Mower, E. P. Veltri

Research output: Contribution to journalArticle

Abstract

Holiday heart syndrome is defined as the occurrence of cardiac arrhythmia in alcohol users without overt heart disease after the ingestion of alcohol. Additionally, alcohol has been implicated as a potential etiology of sudden cardiac death in susceptible individuals. We report on a 53-year-old black woman with mild nonischemic dilated congestive cardiomyopathy and alcohol-provoked ventricular tachyarrhythmias who received an automatic implantable cardioverter defibrillator (AICD). She subsequently had recurrent cardiac arrest during bouts of alcohol intoxication and with out-of-hospital AICD rescue. Electrophysiological study using alcohol infusion confirmed alcohol as the etiology of arrhythmogenicity. We propose that holiday heart be expanded to include people with overt heart disease. These individuals have a high risk of sudden cardiac death after alcohol ingestion, irrespective of underlying cardiac substrate; the AICD is an effective back-up modality of therapy.

Original languageEnglish (US)
Pages (from-to)309-312
Number of pages4
JournalJournal of Electrophysiology
Volume3
Issue number4
StatePublished - 1989

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Holidays
Implantable Defibrillators
Tachycardia
Alcohols
Sudden Cardiac Death
Dilated Cardiomyopathy
Therapeutics
Heart Diseases
Eating
Alcoholic Intoxication
Heart Arrest
Cardiac Arrhythmias

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

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abstract = "Holiday heart syndrome is defined as the occurrence of cardiac arrhythmia in alcohol users without overt heart disease after the ingestion of alcohol. Additionally, alcohol has been implicated as a potential etiology of sudden cardiac death in susceptible individuals. We report on a 53-year-old black woman with mild nonischemic dilated congestive cardiomyopathy and alcohol-provoked ventricular tachyarrhythmias who received an automatic implantable cardioverter defibrillator (AICD). She subsequently had recurrent cardiac arrest during bouts of alcohol intoxication and with out-of-hospital AICD rescue. Electrophysiological study using alcohol infusion confirmed alcohol as the etiology of arrhythmogenicity. We propose that holiday heart be expanded to include people with overt heart disease. These individuals have a high risk of sudden cardiac death after alcohol ingestion, irrespective of underlying cardiac substrate; the AICD is an effective back-up modality of therapy.",
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