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Writer's pictureSaneka Chakravarty, MD, FACC

Holiday heart

Updated: Aug 8, 2023

Picture this: your heart yearns for joyous moments spent with loved ones during the holiday season. Yet, unexpectedly, your holiday escapade takes a detour, steering you towards the stark corridors of an emergency room. There, amidst twinkling lights and festive cheer, you find yourself grappling with rapid heartbeats, chest discomfort, or breathlessness—a reality that unveils the unwelcome specter known as "Holiday Heart."

This enigmatic term encapsulates an irregular and accelerated heart rhythm, a phenomenon commonly referred to as atrial fibrillation. While not uncommon among individuals over the age of 65 or those contending with diabetes, sleep apnea, heart failure, and elevated blood pressure, it casts an unexpected shadow on even the younger and seemingly healthier population, particularly during the holiday season, often fueled by bouts of excessive alcohol consumption.

The intricate dance between alcohol intake and heart rhythm disruptions usually finds its genesis in nerve-mediated interactions. Nevertheless, it's worth acknowledging that alcohol's impact isn't limited to the realm of nerves; it may also entail acute inflammation of the heart or an accumulation of fat deposits around this vital organ, all of which have been implicated.

Enlightening research has shed light on a noteworthy revelation: even minimal alcohol usage can amplify the risk of atrial fibrillation. Conversely, embracing complete abstinence can manifest as a powerful strategy to curtail the recurrence of this heart rhythm irregularity.

The silver lining amidst this narrative is that, more often than not, the errant heart rhythm eventually finds its harmonious cadence within a day or so. Yet, in certain instances, the journey to rhythmic equilibrium may necessitate supportive care along the way.

The beacon guiding us towards avoidance lies in a simple principle: steering clear of binge drinking. By embracing moderation and mindful choices, we empower ourselves to bask in the festivities without surrendering our heart's harmony.

As you navigate the joyous tapestry of holiday celebrations, let the symphony of your heart remain a melody of health and well-being.

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