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September 1, 1989Alcohol and Alcoholism

Vagal Neuropathy in Chronic Alcoholics: Relation to Ethanol Consumption

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Key result

Complete ethanol abstinence is linked to improved deep breathing test indices in ~92% of patients.

  • n=70

Why the study?

Vagal neuropathy in chronic alcoholics appears more common than previously thought, but its reversibility and relationship with alcohol intake and nutritional status remain unclear.

Does ethanol abstinence improve vagal neuropathy in chronic alcoholics?

Population

70 chronic alcoholics at beginning of abstinence

Comparison

Complete ethanol abstinence vs continued ethanol intake

Design

Observational study with cardiovascular reflex and electrophysiological tests

Authors

JVJaume VillaltaHospital Clínic de Barcelona
Ramón Estruch
Ramón EstruchPreventive Cardiology
EAEmília AntúnezFlorida International University

Discussion

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Implication

Abstinence may reverse alcohol-related vagal neuropathy; leaves open confirmation in prospective trials.

Study Design

Type

Observational (n=70)

Structured PICO

Does ethanol abstinence improve vagal neuropathy in chronic alcoholics?

P
Population
70 chronic alcoholics evaluated at the beginning of abstinence, with a 1-year follow-up of 12 patients who had abnormal deep breathing test indices.
E
Exposure
Complete ethanol abstinence
O
Outcome
Vagal neuropathy assessed by deep breathing test (DBT) indicessurrogate

Vagal neuropathy in chronic alcoholics correlates with lifetime ethanol intake and is largely reversible with sustained abstinence.

Cite This Study

Villalta et al. (1989) conducted an observational in Chronic alcoholism (n=70). Ethanol consumption and abstinence was evaluated on Deep breathing test (DBT) indices and motor conduction velocity. Total lifetime ethanol intake correlated with abnormal deep breathing test indices, which improved in 11 of 12 patients after one year of complete ethanol abstinence.

synapsesocial.com/papers/6aaa000081b585e3dc1bfba3https://doi.org/10.1093/oxfordjournals.alcalc.a044937
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mortality in alcoholics with autonomic neuropathy.1988 · 124 citations
  2. 2Autonomic Neuropathy in Chronic Alcoholism: Evaluation of Cardiovascular, Pupillary and Sympathetic Skin Responses2008 · 24 citations
  3. 3Alcoholic vagal neuropathy: recovery following prolonged abstinence.1984 · 35 citations
  4. 4Alcohol Abuse Exaggerates Autonomic Dysfunction in Chronic Liver Disease1996 · 16 citations
  5. 5THE SYMPATHETIC NERVOUS SYSTEM IN ALCOHOLIC NEUROPATHY1975 · 85 citations