Document Detail


Effect of low doses of alcohol on the warm-up phenomenon in patients with stable angina pectoris.
MedLine Citation:
PMID:  18602511     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Experimental studies suggest that alcohol may have protective effects similar to that of ischemic preconditioning (IPC). The acute effects of alcohol on IPC in humans, however, are poorly known. In this study, we assessed the effect of alcohol administration on the warm-up phenomenon, as an expression of IPC, in patients with stable coronary artery disease (CAD). We randomized 45 stable CAD patients with positive (ST-segment depression > or =1 mm) exercise stress test to 1 of 3 groups of 15 patients each: (1) group 1 = 60 cc of gin (18.5 g of ethanol); (2) group 2 = 180 cc of red wine (18.9 g of ethanol); and (3) group 3 = placebo (120 cc of water). A first exercise test was performed 15 minutes after beverage administration. In those with a positive exercise test (13, 14, and 14 patients in the gin, wine, and placebo groups, respectively), a second exercise test was performed 15 minutes after the end of the first one. On the first test, there were no differences among groups in rate pressure product and time of exercise at 1-mm ST-segment depression, as well as in maximal ST segment depression. Furthermore, an improvement of the ischemic exercise variables was observed in each group, without any statistically significant differences among them. In conclusion, our data show that, in stable CAD patients, the acute intake of low doses of alcohol does not significantly influence IPC, as expressed by the warm-up phenomenon on exercise stress testing.
Authors:
Leonardo Marinaccio; Gaetano Antonio Lanza; Giampaolo Niccoli; Alessandro Fabretti; Priscilla Lamendola; Lucy Barone; Antonio Di Monaco; Francesca Di Clemente; Filippo Crea
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial     Date:  2008-05-28
Journal Detail:
Title:  The American journal of cardiology     Volume:  102     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-07     Completed Date:  2008-08-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  146-9     Citation Subset:  AIM; IM    
Affiliation:
Istituto di Cardiologia, Università Cattolica del Sacro Cuore, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Alcohol Drinking*
Angina Pectoris / physiopathology*
Coronary Artery Disease / physiopathology*
Ethanol / administration & dosage*,  pharmacology*
Exercise Test
Female
Humans
Ischemic Preconditioning, Myocardial / methods*
Male
Middle Aged
Chemical
Reg. No./Substance:
64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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