Beer-induced angina pectoris

Nozomu Kaneko1, Tatsuya Kawasaki1, Kuniyasu Harimoto1

  • 1Department of Cardiology, Matsushita Memorial Hospital, 5-55 Sotojima, Moriguchi, Osaka 570-8540, Japan.

Journal of Cardiology Cases
|December 15, 2018
PubMed

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.

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