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Left ventricular function during alcohol intoxication and autonomic nervous blockade.

H Kelbaek, T Gjørup, O J Hartling

    The American Journal of Cardiology
    |March 1, 1987
    PubMed
    Summary
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    Alcohol intoxication depresses left ventricular function at rest, increasing heart rate and decreasing ejection fraction. Sympathetic nervous activity during exercise is a toxic effect of alcohol.

    Area of Science:

    • Cardiology
    • Exercise Physiology
    • Pharmacology

    Background:

    • Alcohol consumption can affect cardiovascular function.
    • Autonomic nervous system plays a crucial role in regulating heart function during rest and exercise.

    Purpose of the Study:

    • To investigate the effects of alcohol intoxication on left ventricular (LV) function.
    • To examine the role of autonomic nervous blockade in modulating alcohol's cardiovascular effects.
    • To assess sympathetic nervous system activity during alcohol intoxication and exercise.

    Main Methods:

    • Eight healthy young subjects underwent radionuclide cardiography at rest and during exercise.
    • Measurements were taken during alcohol intoxication and after autonomic nervous blockade (metoprolol and atropine).

    Related Experiment Videos

  • Plasma norepinephrine and epinephrine concentrations were measured.
  • Main Results:

    • Alcohol intoxication increased resting heart rate and decreased LV ejection fraction due to end-systolic dilation.
    • No significant alcohol-induced hemodynamic changes occurred during exercise.
    • Autonomic blockade did not significantly alter alcohol's effects compared to a control.
    • Plasma norepinephrine levels were elevated at rest and during exercise during alcohol intoxication.

    Conclusions:

    • Alcohol intoxication exerts a depressant effect on resting LV function.
    • Increased sympathetic nervous activity during exercise under alcohol intoxication appears toxic, not compensatory.
    • Autonomic nervous blockade did not mitigate the observed cardiovascular effects of alcohol.