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.
Abstract

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