Fast Five Quiz: Holiday Heart Syndrome

Yasmine S. Ali, MD


December 01, 2021

Echocardiography is the standard of care for the assessment of cardiac chamber enlargement, left ventricular wall motion abnormalities, hypertrophy, valvular disease, and both systolic and diastolic dysfunction. In patients who are at risk for coronary artery disease, additional cardiac imaging (ie, perfusion imaging) may be required. Cardiac auscultation in patients with holiday heart syndrome is usually normal, except for an "irregularly irregular" pulse.

Routine laboratory findings in patients with holiday heart syndrome often point to alcohol use. Mean corpuscular volume increases in association with excessive alcohol intake. The ratio of aspartate aminotransferase to alanine aminotransferase may be 2:1. Investigation into the liver may also be warranted.

Learn more about the workup of holiday heart syndrome.


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