Electrocardiogram Changes with Acute Alcohol Intoxication: A Systematic Review

Raheja, Hitesh; Namana, Vinod; Chopra, Kirti; Sinha, Ankur; Gupta, Sushilkumar Satish; Kamholz, Stephan; Moskovits, Norbert; Shani, Jacob; Hollander, Gerald

Electrocardiogram Changes with Acute Alcohol Intoxication: A Systematic Review

Hitesh Raheja^{1, *}, Vinod Namana², Kirti Chopra³, Ankur Sinha², Sushilkumar Satish Gupta², Stephan Kamholz², Norbert Moskovits², Jacob Shani², Gerald Hollander²

¹ Cleveland Clinic, Ohio, USA

² Maimonides Medical Center, Brooklyn, USA

³ Indiana University School of Dentistry, Indianapolis, USA

Article Information

Identifiers and Pagination:

Year: 2018
Volume: 12
First Page: 1
Last Page: 6
Publisher ID: TOCMJ-12-1
DOI: 10.2174/1874192401812010001

Article History:

Received Date: 07/09/2017
Revision Received Date: 04/12/2017
Acceptance Date: 26/01/2018
Electronic publication date: 12/02/2018
Collection year: 2018

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© 2018 Raheja et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

^* Address correspondence to this author at the Clinical associate, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio-44195, United States of America; Tel: 917-514-4928; E-mail: hiteshraheja88@gmail.com

Background:

Acute alcohol intoxication has been associated with cardiac arrhythmias but the electrocardiogram (ECG) changes associated with acute alcohol intoxication are not well defined in the literature.

Objective:

Highlight the best evidence regarding the ECG changes associated with acute alcohol intoxication in otherwise healthy patients and the pathophysiology of the changes.

Methods:

A literature search was carried out; 4 studies relating to ECG changes with acute alcohol intoxication were included in this review.

Results:

Of the total 141 patients included in the review, 90 (63.8%) patients had P-wave prolongation, 80 (56%) patients had QTc prolongation, 19 (13.5%) patients developed T-wave abnormalities, 10 (7%) patients had QRS complex prolongation, 3 (2.12%) patients developed ST-segment depressions.

Conclusion:

The most common ECG changes associated with acute alcohol intoxication are (in decreasing order of frequency) P-wave and QTc prolongation, followed by T-wave abnormalities and QRS complex prolongation. Mostly, these changes are completely reversible.

Keywords: ECG, Alcohol, Alcohol and arrhythmia, Alcohol intoxication, Ethanol toxicity.

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Dimitri P. Mikhailidis
Department of Clinical Biochemistry
Royal Free Hospital Campus
University College London Medical School
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Electrocardiogram Changes with Acute Alcohol Intoxication: A Systematic Review

Article Information

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Abstract

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Conclusion:

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Published Contents

About the Editor

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The Open Cardiovascular Medicine Journal

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Unique Views/Downloads: 138,411

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