Clinical characteristics of alcoholic withdrawal syndrome related acute coronary ischemic events and literature review
Abstract：Objective To investigate the clinical characteristics, pathogenesis, treatment and prognosis of alcoholic withdrawal syndrome ( AWS) related acute coronary ischemic events.Methods We report a case of acute coronary ischemic event with AWS, and retrospectively review the data available in the literature and discuss the clinical characteristics, pathogenesis, treatment and prognosis of this clinical situation.Results Up to now there are 11 case reports of acute coronary ischemic events with AWS available in the literature ( not including this case ) .Clinical features may not be typical, mostly combined with dynamic changes of ECG and cardiac enzymes to different degrees.Conclusion There are several mechanisms that might be responsible for the occurrence of acute coronary ischemic events with AWS, including abnormal activation of sympathetic nerve and coronary micro -vascular lesion.A general accepted treatment for this clinical situation has not been found yet, but the prognosis is favorable.Most patients could get a reversible cardiac function under symptomatic treatment and coronary heart disease secondary prevention and risk reduction therapy.
Keywords：Alcoholic withdrawal syndrome( AWS)Acute coronary ischemia eventsClinical characteristicsAcute coronary syndrome
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 133-137 )