Friday, January 1, 2010

EtOH 3

Happy New Year's! This EKG is from a previously healthy man who presented with the chief complaint "my heart feels funny." He came in on New Year's Day because of a resolution to "be more healthy." "No more binge drinking," he says. Otherwise, he has no other medical problems, has had no surgeries, and takes no medications.

Challenge: What's the cause of the EKG finding?

Image shown under Fair Use.


Suheil said...

i'm gonna go wit acute alcohol intoxication resulting in atrial fibrillation and (if it is at all possible) a first degree heart block.. also there is QT prolongation.. but it could be me trying to put my foot into my mouth again.. :(

Craig Chen said...

yep! classic case of holiday heart
EtOH 3

Holiday heart syndrome is atrial fibrillation occurring after binge drinking of alcohol.

Sources: UpToDate;