Electrocardiogram Changes with Acute Alcohol Intoxication: A Systematic Review.

The Open Cardiovascular Medicine Journal Pub Date : 2018-02-12 eCollection Date: 2018-01-01 DOI:10.2174/1874192401812010001

Hitesh Raheja, Vinod Namana, Kirti Chopra, Ankur Sinha, Sushilkumar Satish Gupta, Stephan Kamholz, Norbert Moskovits, Jacob Shani, Gerald Hollander

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引用次数: 12

Abstract

Background: Acute alcohol intoxication has been associated with cardiac arrhythmias but the electrocardiogram (ECG) changes associated with acute alcohol intoxication are not well defined in the literature.

Objective: Highlight the best evidence regarding the ECG changes associated with acute alcohol intoxication in otherwise healthy patients and the pathophysiology of the changes.

Methods: A literature search was carried out; 4 studies relating to ECG changes with acute alcohol intoxication were included in this review.

Results: Of the total 141 patients included in the review, 90 (63.8%) patients had P-wave prolongation, 80 (56%) patients had QTc prolongation, 19 (13.5%) patients developed T-wave abnormalities, 10 (7%) patients had QRS complex prolongation, 3 (2.12%) patients developed ST-segment depressions.

Conclusion: The most common ECG changes associated with acute alcohol intoxication are (in decreasing order of frequency) P-wave and QTc prolongation, followed by T-wave abnormalities and QRS complex prolongation. Mostly, these changes are completely reversible.

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急性酒精中毒的心电图变化:一项系统综述。

背景:急性酒精中毒与心律失常有关，但与急性酒精中毒相关的心电图(ECG)变化在文献中没有很好的定义。目的:强调与急性酒精中毒相关的心电图变化的最佳证据，以及这些变化的病理生理学。方法:进行文献检索;本综述纳入了4项与急性酒精中毒心电图变化相关的研究。结果:141例患者中，p波延长90例(63.8%)，QTc延长80例(56%)，t波异常19例(13.5%)，QRS复合延长10例(7%)，st段抑郁3例(2.12%)。结论:急性酒精中毒最常见的心电图改变是p波和QTc延长(频率由高到低)，其次是t波异常和QRS复调延长。大多数情况下，这些变化是完全可逆的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Open Cardiovascular Medicine Journal

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