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
Summary
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.
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