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Vol. 92, No. 2, 1999
Issue release date: February 2000

Acute Myocardical Infarction due toDelirium tremens

Danenberg H.D. · Nahir M. · Hasin Y.
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Abstract

A 36-year-old patient with normal-appearing coronary arteries suffered an acute Q-wave myocardial infarction during acute alcohol withdrawal and delirium tremens. Sympathetic hyperactivity with coronary spasm and increased platelet reactivity are probably the underlying mechanisms.

Copyright © 2000 S. Karger AG, Basel



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References

  1. Diamond I: Alcoholism and alcohol abuse; in Bennett JP, Plum F (eds): Cecil Textbook of Medicine, ed 20. Philadelphia, 1996, pp 47–49.
  2. Yokoyama A, Takagi T, Ishii H, Muramatsu T, Akai J, Kato S, Hori S, Maruyama K, Kono H, Tsuchiya M: Impaired autonomic nervous system in alcoholics assessed by heart rate variation. Alcohol Clin Exp Res 1991;15:761–765.
  3. Denison H, Jern S, Jagenburg R, Wendestam C, Wallerstedt S: ST-segment changes and catecholamine-related myocardial enzyme release during alcohol withdrawal. Alcohol Alcohol 1997;32:185–194.

    External Resources

  4. Tan CH, Lee HS, Kua EH, Yeo B, Ang A: Difference in platelet cytosolic calcium response to thrombin in alcoholic withdrawal and sober patients. J Stud Alcohol 1995;56:21–23.

    External Resources



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