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How alcohol can cause atrial fibrillation and other heart problems

 


Atrial fibrillation, also known as A-fib, is the most common disorder of cardiac rhythm and affects an estimated 3 million adults in the United States. This happens when the atrium, the upper atrium of the heart, begins to beat irregularly. This can block blood flow to the lower ventricles of the heart, called the ventricles. Over time, it can cause complications such as heart failure and stroke. Atrial fibrillation may be persistent, or it may be sporadic with symptoms such as palpitation, shortness of breath, and malaise that last for minutes or hours at a time. When episodes occur occasionally, the condition is known as paroxysmal atrial fibrillation.

People are more likely to develop atrial fibrillation as they get older. It is also more likely to occur in people who have risk factors such as high blood pressure, heart disease, and obesity. European ancestors Or a family history of arrhythmia.About 40 years ago, a doctor Start documenting cases The percentage of people who experience arrhythmia after heavy drinking on weekends and holidays has become known as holiday heart syndrome. Since then, Numerous large-scale observational studies It has been found that people who drink regularly are more likely to develop atrial fibrillation, even with just one drink a day.

Many of these previous studies had important weaknesses. In most cases, they relied on people who self-reported their alcohol intake, but this is not always reliable. Research found For example, people tend to underestimate the amount they drink. Another limitation is that a person asked to remember an episode of atrial fibrillation can be misidentified by various behaviors as a trigger. However, the new study is designed to circumvent these restrictions. Dr. Marcus and his colleagues recruited 100 people with a history of paroxysmal atrial fibrillation, most of whom were male and wore an electrocardiogram monitor that tracks the rhythm of the heart 24 hours a day.

The device contained a button that participants were instructed to press each time they drank an alcoholic beverage. Researchers have also used other objective means to track alcohol intake. They installed participants with a special ankle monitor that could detect their blood alcohol levels. Regular fingertip blood tests were also performed to measure participants’ phosphatidylethanol (PEth) levels. This is a biomarker that indicates a person’s recent alcohol consumption.

During the four weeks of follow-up, researchers found that at least 56 participants experienced episodes of atrial fibrillation. The data showed that alcohol often triggers arrhythmias. Drinking one cup doubles the chance of developing atrial fibrillation in the next four hours, and drinking two or more cups triples the chance of an event. The higher the alcohol level in a person’s blood, the more likely it is to have an arrhythmia.

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2/ https://www.nytimes.com/2021/08/30/well/live/alcohol-atrial-fibrillation.html

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