Holiday Heart Syndrome Questions & Answers

Updated: May 30, 2018
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jose M Dizon, MD  more...
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Questions & Answers

Overview

What is holiday heart syndrome (HHS)?

What is the pathophysiology of holiday heart syndrome (HHS)?

What is the pathophysiology of alcohol arrhythmia in holiday heart syndrome (HHS)?

What is the prevalence of holiday heart syndrome (HHS) in the US?

What is the global prevalence of holiday heart syndrome (HHS)?

What is the prognosis of holiday heart syndrome (HHS)?

Presentation

Which clinical history findings are characteristic of holiday heart syndrome (HHS)?

Which physical findings are characteristic of holiday heart syndrome (HHS)?

DDX

Which conditions should be considered in patients with holiday heart syndrome (HHS)?

How does alcohol intoxication affect the workup for holiday heart syndrome (HHS)?

Which other arrhythmias should be considered in the evaluation of holiday heart syndrome (HHS)?

What are the differential diagnoses for Holiday Heart Syndrome?

Workup

Which tests are performed in the workup of holiday heart syndrome (HHS)?

Treatment

How is holiday heart syndrome (HHS) treated?

Which specialist consultations are beneficial to patients with holiday heart syndrome (HHS)?

Which dietary modifications are used in the treatment of holiday heart syndrome (HHS)?

Which activity modifications are used in the treatment of holiday heart syndrome (HHS)?

Guidelines

Which guidelines have been published for holiday heart syndrome (HHS)?

What is the AHA/ACC/HRS classification schema for atrial fibrillation relevant to holiday heart syndrome (HHS)?

What is the ESC atrial fibrillation classification relative to holiday heart syndrome (HHS)?

What organizations have issued guidelines for prevention of stroke relative to holiday heart syndrome (HHS)?

How is the risk of stroke determined in holiday heart syndrome (HHS)?

What are the ACCP recommendations for antithrombotic therapy in holiday heart syndrome (HHS)?

What is the scoring system for stroke risk assessment in patients with holiday heart syndrome (HHS)?

What are the AHA/ACC/HRS recommendations for antithrombotic therapy for patients with holiday heart syndrome (HHS)?

What are the ESC recommendations for antithrombotic therapy in patients with holiday heart syndrome (HHS)?

What are the AAN recommendations for anticoagulation therapy in patients with holiday heart syndrome (HHS)?

How do the recommendations of major guidelines for antithrombotic therapy in patients with holiday heart syndrome (HHS) compare?

What are the AHA/ACC/HRS guidelines for control of ventricular rate in patients with holiday heart syndrome (HHS)?

What are the AHA/ACC/HRS guidelines for cardioversion in patients with holiday heart syndrome (HHS)?

What are the ESC guidelines for cardioversion in patients with holiday heart syndrome (HHS)?

What are the contraindications to vernakalant therapy in patients with holiday heart syndrome (HHS)?

What are the ACC/AHA/HRS guidelines for the prevention of atrial fibrillation (AF) and maintenance of sinus rhythm in holiday heart syndrome (HHS)?

What are the guidelines for catheter ablation in holiday heart syndrome (HHS)?

Medications

What is the role of medications in the treatment of holiday heart syndrome (HHS)?

Which medications in the drug class Antidysrhythmics, III are used in the treatment of Holiday Heart Syndrome?

Which medications in the drug class Cardiac Glycosides are used in the treatment of Holiday Heart Syndrome?

Which medications in the drug class Calcium Channel Blockers, Non-dihydropyridine are used in the treatment of Holiday Heart Syndrome?

Which medications in the drug class Beta-Blockers, Beta-1 Selective are used in the treatment of Holiday Heart Syndrome?