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Extra info for The Addiction Medicine: An Evidence-Based Handbook (Lippincott Williams & Wilkins Handbook)
48 Arrhythmias (most commonly atrial fibrillation) are commonly seen after an alcohol binge (â holiday heartâ ) (43). The risk of developing atrial fibrillation appears to be especially associated with alcohol in men (44). Alcohol-associated atrial fibrillation may spontaneously revert to sinus rhythm without the need for medication or cardioversion. Gastrointestinal Complications Alcohol affects the digestive system from the oropharynx to the rectum. Poor oral hygiene is common in alcoholics, resulting in both dental and gum disease, with potential risk of consequent bacteremia.
DISULFIRAM (ANTABUSE) Although controlled studies have not shown that it increases duration of sobriety (109, 110), the use of disulfiram to prevent drinking should be considered for some patients. Patients who are motivated to succeed 51 52 in recovery and who have experienced relapse or dread the likelihood of relapse are candidates for disulfiram. Because disulfiram is taken once daily, it is a constant reminder that one cannot drink. Additionally, the decision not to drink has to be made only once a day.
A recent large study of a cohort of men found that those who drank beer, but not wine, were at increased risk for having an episode of gout (73). Pregnancy Morphologic abnormalities (especially of the face), low birth weight, and developmental and cognitive impairment manifest the fetal alcohol spectrum disorder (74). This syndrome is a consequence of alcohol ingestion during pregnancy. , low birth weight) begins with the consumption of one drink per day; this risk increases with increasingly larger amounts of alcohol consumption.