Holiday heart syndrome

Introduction The so-called "holiday heart syndrome" refers to a type of syndrome characterized by arrhythmia as the main feature after excessive drinking during the holidays. Over-indulgence of the holiday, long-term play mahjong, watching TV, surfing the Internet, smoking and drinking, staying up late entertainment and other fatigue and irregular life is easy to induce holiday heart syndrome. Fatigue and irregular life disrupts the balance of normal neuromodulation and induces this condition in a reflexive manner.

Cause

This syndrome has nothing to do with a long history of heart disease, but is closely related to drinking. Whether it is wine, beer or spirits, excessive drinking will cause the reentry to occur due to alcohol and its metabolites, which can delay the conduction time of the myocardium, or stimulate the myocardium to release norepinephrine, thus changing the myocardial refractory period. These factors can make excessive alcoholics prone to tachyarrhythmia, early onset, paroxysmal tachycardia, and even a variety of abnormal heartbeat rhythms such as atrial flutter or atrial fibrillation.

an examination

Related inspection

Dynamic electrocardiogram (Holter monitoring) ECG

There are many consecutive or repeated drinking history during the holidays. Most of the patients are young and middle-aged. They have no history of heart disease, conscious palpitations, chest tightness, shortness of breath, atypical chest pain, dizziness or syncope. Physical examination and electrocardiogram results showed obvious signs of arrhythmia, especially frequent and multi-source early Bo, atrial fibrillation has important diagnostic value, no abnormal myocardial enzymology, can rule out acute myocardial infarction, blood alcohol concentration increases, The chest radiograph is normal.

Differential diagnosis

Mainly differentiated by arrhythmia caused by disease:

There are many consecutive or repeated drinking history during the holidays. Most of the patients are young and middle-aged. They have no history of heart disease, conscious palpitations, chest tightness, shortness of breath, atypical chest pain, dizziness or syncope. Physical examination and electrocardiogram results showed obvious signs of arrhythmia, especially frequent and multi-source early Bo, atrial fibrillation has important diagnostic value, no abnormal myocardial enzymology, can rule out acute myocardial infarction, blood alcohol concentration increases, The chest radiograph is normal.

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