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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Van Cleef, Anne N. H. Busari, Jamiu O. Schuurman, Marijn J. |
| Description | Author Affiliation: van Cleef AN ( Department of Pediatrics, Atrium Medical Centre, Heerlen, The Netherlands.) |
| Abstract | Alcohol abuse is a major problem among adolescents, and has both acute, potentially lethal, and long-term harmful effects. The authors describe an adolescent who was in a subcomatose condition after binge drinking. His serum alcohol concentration was 3.7 g/l. The next morning, before transfer to the paediatric ward, he developed a third-degree atrioventricular (AV) block without cardiac output while his infusion needle was removed. This recovered spontaneously after a precordial thump. Retrospectively, electrocardiography showed an increasing PR prolongation (200-300 ms) before the removal of the infusion needle. ECG recordings several hours later showed a first-degree AV block, which was no longer seen during follow-up, 1 month later. The authors conclude that acute alcohol poisoning has the potential to prolong the PR interval in young, healthy adolescents without pre-existing first-degree AV block and provoke a third-degree AV block after vagal stimulation. It is yet another potential danger of acute alcohol intoxication in this age group. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2011 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Alcoholism Complications Atrioventricular Block Etiology Adolescent Physiopathology Therapy Electrocardiography Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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