I wanted to put this one out early this year, even though the paper was published in 2014.
An analysis of 12,195 cases of first MI (spanning 52 countries!) was compared to 15,583 age and sex-matched controls. While they found that frequent alcohol use in moderation was associated with a reduced risk compared to non-drinkers (OR 0.87), heavy episodic drinking (six or more drinks) within a 24 hour period was associated with an increased risk of MI (OR 1.4).
This risk was significantly elevated in those over age 65 with an OR of 5.3 !
Take home – Holiday Heart is real, don’t blow it off as GERD if they show up in your ED, and don’t let your elders drink then go shoveling this holiday season!
Enjoy the holidays safely!