What question did this study set out to answer?

Assess whether acute ethanol ingestion directly provokes ventricular tachycardia in an individual with recurrent palpitations but structurally normal cardiac anatomy.

November 8, 1979New England Journal of Medicine

Provocation of Ventricular Tachycardia after Consumption of Alcohol

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Why the study?

Does ingestion of ethanol provoke ventricular tachycardia in a patient with recurrent tachycardia and no underlying structural heart disease?

Population

A 54-year-old man with an eight-year history of heavy drinking and palpitations, recurrent ventricular…

Design

Case_report

Authors

AGArnold J. GreensponElectrophysiology JSJohn M. StangIndonesian State College of Accountancy RLRichard P. LewisAmerican Heart Association

Discussion

Member takes

Implication

Ethanol may provoke VT without structural disease; leaves open generalizability and causality beyond this single case.

Key Points

Assess whether acute ethanol ingestion directly provokes ventricular tachycardia in an individual with recurrent palpitations but structurally normal cardiac anatomy.
Evaluated a 54-year-old male with an eight-year history of heavy alcohol intake and documented ventricular tachycardia (N=1).
Performed comprehensive baseline cardiovascular diagnostic testing, including electrocardiography, echocardiography, left ventricular cineangiography, and coronary arteriography.
Administered programmed ventricular stimulation using repetitive ventricular response testing before and after ethanol ingestion.
Baseline cardiac examinations, including coronary arteriography, cineangiography, and echocardiography, demonstrated completely normal cardiac structure and function.
Repetitive ventricular electrical stimulation provoked sustained ventricular tachycardia solely after ethanol ingestion, with no inducible sustained dysrhythmia prior to exposure.

Structured PICO

Does ingestion of ethanol provoke ventricular tachycardia in a patient with recurrent tachycardia and no underlying structural heart disease?

Population

A 54-year-old man with an eight-year history of heavy drinking and palpitations, recurrent ventricular tachycardia, and no evidence of underlying structural heart disease (n=1).

Intervention

Ingestion of ethanol followed by provocation using the repetitive ventricular response.

Outcome

Provocation of sustained ventricular tachycardia.

Ethanol ingestion can provoke sustained ventricular tachycardia in susceptible individuals even in the absence of underlying structural heart disease.

Cite This Study

Greenspon et al. (1979) studied this question.

synapsesocial.com/papers/69eedf2a0fb71af24d3116e6 https://doi.org/10.1056/nejm197911083011906

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Provocation of Ventricular Tachycardia after Consumption of Alcohol

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Provocation of Ventricular Tachycardia after Consumption of Alcohol

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider