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Quantitative Autonomic Testing
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Alcohol-induced autonomic dysfunction: a systematic review.

Thomas Henry Julian1, Rubiya Syeed2, Nicholas Glascow2

  • 1The Medical School, University of Sheffield, Beech Hill Rd, Sheffield, S10 2RX, UK. Thjulian07@gmail.com.

Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society
|June 22, 2019
PubMed
Summary
This summary is machine-generated.

Autonomic dysfunction is common in chronic alcohol abusers, affecting 16-73% of individuals. Abstinence from alcohol shows promise as a management strategy for improving autonomic function.

Keywords:
AlcoholAlcoholicAutonomicDysfunctionEthanolNeurology

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Area of Science:

  • Neurology
  • Cardiology
  • Endocrinology

Background:

  • Chronic excessive alcohol consumption is linked to autonomic nervous system impairment.
  • Autonomic dysfunction presents a significant health concern for individuals with a history of heavy drinking.

Purpose of the Study:

  • To systematically review and characterize autonomic dysfunction in chronic alcohol consumers.
  • To determine the prevalence of alcohol-induced autonomic dysfunction.
  • To explore effective management strategies for this condition.

Main Methods:

  • A systematic literature search was performed using the PubMed database.
  • Studies were independently evaluated by at least three authors for inclusion.
  • Inclusion criteria required human subjects with excessive ethanol consumption; case reports and non-original studies were excluded.

Main Results:

  • Fifty-five studies were included, revealing a prevalence of 16-73% for autonomic dysfunction in chronic alcohol abusers based on cardiovascular reflex tests.
  • Erectile dysfunction was the most frequent symptom; postural dizziness was rare.
  • Total lifetime ethanol dose emerged as the primary risk factor, with abstinence showing potential for significant improvement in autonomic function.

Conclusions:

  • Autonomic dysfunction is highly prevalent among alcohol abusers.
  • Significant heterogeneity exists in current research regarding populations, alcohol consumption patterns, and diagnostic methods.
  • Further research with standardized methodologies is recommended to better understand and manage alcohol-related autonomic dysfunction.