title: Acute coronary ischemia during alcohol withdrawal: a case report.
abstract: BACKGROUND
  The potential of alcohol withdrawal to cause acute coronary events is an area that needs the urgent attention of clinicians and researchers.
  
  
  METHODS
  We report the case of a 52-year-old heavy-alcohol-using Sri Lankan man who developed electocardiogram changes suggestive of an acute coronary event during alcohol withdrawal. Despite the patient being asymptomatic, subsequent echocardiogram showed evidence of ischemic myocardial dysfunction. We review the literature on precipitation of myocardial ischemia during alcohol withdrawal and propose possible mechanisms.
  
  
  CONCLUSIONS
  Alcohol withdrawal is a commonly observed phenomenon in hospitals. However, the number of cases reported in the literature of acute coronary events occurring during withdrawal is few. Many cases of acute ischemia or sudden cardiac deaths may be attributed to other well known complications of delirium tremens. This is an area needing the urgent attention of clinicians and epidemiologists.
authors.affiliation: University Medical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka. chaturaka.rodrigo@gmail.com.
authors.forename: Chaturaka
authors.initials: C
authors.lastname: Rodrigo
authors.forename: Dhanesha Seneviratne
authors.initials: DS
authors.lastname: Epa
authors.forename: Ganeshalingam
authors.initials: G
authors.lastname: Sriram
authors.forename: Saroj
authors.initials: S
authors.lastname: Jayasinghe