Alcohol Binge Drinking-Induced ST-Segment-Elevation Acute Coronary Syndrome
Steven Swarath1, Nicole Maharaj1, Dayna Lalchansingh1
1North Central Regional Health Authority, Champ Fleurs, Trinidad and Tobago.
Journal of Investigative Medicine High Impact Case Reports
|October 26, 2022
Insights
Binge drinking high-proof alcohol triggered ST-segment-elevation acute coronary syndrome in a young man. Prompt treatment with percutaneous coronary intervention and medical therapy led to a successful recovery.
Area of Science:
- Cardiology
- Toxicology
Background:
- Acute coronary syndrome (ACS) typically presents in individuals with cardiovascular risk factors.
- Alcohol consumption, particularly binge drinking, is increasingly recognized as a potential trigger for cardiovascular events.
Observation:
- A 26-year-old male with no prior cardiovascular risk factors presented with symptoms of ST-segment-elevation myocardial infarction.
- The patient reported recent binge consumption of high-proof alcohol.
Findings:
- The patient's acute coronary syndrome was directly linked to excessive alcohol intake.
- Successful management was achieved through primary percutaneous coronary intervention (PCI).
Implications:
- This case highlights the potential for high-proof alcohol binge drinking to precipitate ACS in young, otherwise healthy individuals.
- It underscores the importance of considering alcohol consumption in the differential diagnosis of ACS, even in the absence of traditional risk factors.
- Guideline-directed medical therapy following revascularization is crucial for long-term outcomes in alcohol-induced myocardial infarction.
Abstract:
We present the case of a 26-year-old man, without any apparent cardiovascular risk factors, who experienced an ST-segment-elevation acute coronary syndrome after binge drinking high-proof alcohol, which was successfully managed with primary percutaneous coronary intervention and comprehensive, guideline-directed medical therapy.
Related Concept Videos
01:30Acute Coronary Syndrome I: Introduction
56
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
56
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
35
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
35
01:30Acute Coronary Syndrome III: Diagnostic Studies
20
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
20
01:28Acute Coronary Syndrome IV: Interprofessional Care
22
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
22
01:26Acute Coronary Syndrome V: Nursing Management
24
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
24
01:30Coronary Artery Disease III: Clinical Manifestations
25
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
25