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Beer-induced angina pectoris
Nozomu Kaneko1, Tatsuya Kawasaki1, Kuniyasu Harimoto1
1Department of Cardiology, Matsushita Memorial Hospital, 5-55 Sotojima, Moriguchi, Osaka 570-8540, Japan.
Insights
Alcohol can trigger myocardial ischemia, a heart condition. This case study demonstrates how beer-induced myocardial ischemia was confirmed using specialized stress tests, highlighting a potential risk of alcohol consumption.
Area of Science:
- Cardiology
- Internal Medicine
- Toxicology
Background:
- Moderate alcohol intake is linked to decreased coronary heart disease risks.
- However, alcohol consumption can precipitate myocardial ischemia in susceptible individuals.
Purpose of the Study:
- To present a case of beer-induced myocardial ischemia.
- To demonstrate the diagnostic utility of specific stress tests in identifying alcohol-related cardiac events.
Main Methods:
- A 60-year-old male patient presented with symptoms suggestive of myocardial ischemia.
- Diagnostic evaluation included beer-stress electrocardiography and beer-stress thallium-201 scintigraphy.
Main Results:
- Beer-stress electrocardiography confirmed ischemic changes.
- Beer-stress thallium-201 scintigraphy further validated the diagnosis of myocardial ischemia induced by beer consumption.
Conclusions:
- Myocardial ischemia can be directly induced by alcohol, specifically beer in this case.
- Stress testing protocols involving alcohol can effectively diagnose alcohol-induced myocardial ischemia.
Abstract:
Moderate alcohol consumption is associated with reduced morbidity and mortality from coronary heart disease. However, alcohol has been reported to provoke myocardial ischemia in some cases. We report a 60-year-old man with beer-induced myocardial ischemia, which was clearly proved by beer-stress electrocardiography and beer-stress thallium-201 scintigraphy. <Learning objective: Myocardial ischemia can be induced by alcohol, which was clearly shown by beer-stress electrocardiography and thallium-201 scintigraphy in our case.>.
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