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PR and OTc interval prolongation on the electrocardiogram after binge drinking in healthy individuals
A Lorsheyd1, D W de Lange, M L Hijmering
1Department of Internal Medicine, Meander Medical Centre, Amersfoort, The Netherlands. alorshey@hotmail.com
Insights
Binge drinking in healthy individuals can prolong PR and QTc intervals, potentially increasing arrhythmia risk. This study highlights alcohol
Area of Science:
- Cardiology
- Electrophysiology
- Toxicology
Background:
- Excessive alcohol intake is linked to increased cardiovascular mortality.
- Binge drinking may accelerate atherosclerosis and trigger arrhythmias like atrial fibrillation and ventricular tachyarrhythmias.
- QTc prolongation is a known risk factor for ventricular tachyarrhythmias and sudden cardiac death.
Purpose of the Study:
- To investigate the impact of acute, excessive alcohol consumption (binge drinking) on cardiac conduction intervals in healthy individuals.
- To assess changes in electrocardiographic (ECG) parameters following alcohol ingestion.
Main Methods:
- Twenty healthy volunteers were divided into two groups, one consuming red wine and the other a sweet drink.
- Participants underwent follow-up ECG, blood pressure, and heart rate monitoring at specified blood alcohol concentrations (0%, 0.4%, and 0.8%).
Main Results:
- A significant prolongation of the PR interval (149 to 163 ms) and heart rate-adjusted QT interval (400 to 426 ms) was observed.
- Most volunteers showed prolonged PR, QRS, QT, and QTc intervals after alcohol ingestion.
- No significant changes in heart rate or systolic blood pressure were detected.
Conclusions:
- Acute alcohol ingestion in healthy individuals can induce significant prolongation of the PR and QTc intervals.
- These electrophysiological changes may contribute to the increased risk of cardiac arrhythmias associated with binge drinking.
Background:
Acute, excessive alcohol intake has been associated with an increased cardiovascular mortality in otherwise healthy individuals. It predisposes to accelerated atherosclerosis resulting in acute coronary events but also arrhythmias have been described, such as atrial fibrillation and life-threatening re-entrant ventricular arrhythmias. QTc prolongation is associated with an increased risk of ventricular tachyarrhythmias and an independent risk factor for sudden cardiac death. The aim of the study is to investigate the effect of binge drinking on the conduction intervals in healthy individuals.
Methods:
Ten of the volunteers drank red wine while the other ten volunteers drank a sweet designer drink. A follow-up of blood pressure, heart rate, ECG and laboratory findings was performed at an ethanol level of 0, 0.4 and 0.8%, respectively.
Results:
Fifteen volunteers showed a prolongation of the PR interval, 13 of the QRS complex, 9 of the QT interval and 13 of the QTc interval. PR interval increased from 149 +/- 16 ms to 163 +/- 11 ms (p < 0.05). The heart rate-adjusted QT interval increased from 400 +/- 24 ms to 426 +/- 52 ms (p < 0.05). Heart rate and systolic blood pressure did not significantly change due to the ingestion.
Conclusion:
Acute ingestion of alcohol in a healthy population can induce prolongation of PR and QTc interval.
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