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Shameka Cretsinger

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Aug 5, 2024, 4:24:30 AM8/5/24
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Theholiday season is a time of celebration and excess, but Mayo Clinic experts say too much salt, caffeine and alcohol can lead to a little-known condition called "holiday heart" that can have significant consequences.

"But, in the cardiology world, 'holiday heart' actually refers to this effect of the stress of too much alcohol, too much salt, higher blood pressure on the heart," says Dr. Amy Pollak, a Mayo Clinic cardiologist.


"So atrial fibrillation is something that is serious," Dr. Pollak says. "And, so, if you do feel that your heart is racing around the holidays, and it's not just from seeing someone underneath the mistletoe, but your heart is racing from irregularity, or you're feeling short of breath, any type of chest discomfort, overly fatigued, you really need to seek medical attention."


Dr. Pollak says the best way to avoid "holiday heart" is to avoid the excesses that are so prevalent during the holidays. She says that doesn't mean you have to skip a holiday party. Just skip some of the booze, cups of coffee and adding salt on your food.


For the safety of its patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was recorded prior to COVID-19 or recorded in an area not designated for patient care, where social distancing and other safety protocols were followed.


Nearly 60% of Americans say they are looking to make a purchase via social media this year1. Pair that with the fact that Americans rank watching holiday movies over decorating the tree and baking cookies as one of their favorite holiday traditions2, Walmart found an opportunity to create a connection. The shoppable series will be released on TikTok, Roku and YouTube starting Dec. 2, with the remainder dropping Dec. 5 and Dec. 8.


The shoppable series follows New York designer Jessica as she returns to her hometown for the holidays. After losing her luggage on her travels, she visits her local Walmart, where she bumps into an old flame Javi. Between the town festivities, decorating and shopping, they start to rekindle their spark. How will it end? What will you shop? Tune in to find out how the story unfolds.


Holiday heart syndrome is also recognized by physicians as a very real and potentially deadly phenomenon. If left untreated, it can result in serious complications including heart attack and stroke, as well as enlargement of the heart muscles called cardiomyopathy.


While people with a history of heart failure or other cardiac conditions are at greater risk for serious complications, those who are otherwise healthy usually see their arrhythmia stabilized after treatment in an emergency room with beta blockers and other medications to reduce their heart rate.


A 2023 study in the journal Heart Rhythm O2 found that caffeine and alcohol are often consumed together, and their combination can cause irregular heart rhythms. It's common at the holidays to consume more of these substances, and to consume them together. Be aware that it could increase your risk for irregular heart rhythm.


Cardiologist Dr. Amir Lotfi of the Heart & Vascular Program at Baystate Medical Center, reminds holiday diners that moderation is the key. This is especially important for those suffering from high blood pressure, high cholesterol, diabetes and heart disease.


Also, some research suggests that enjoying just one huge meal, despite previous healthy eating habits, is a bad thing and can quadruple the ordinary risk of a heart attack during the two hours after eating.


Studies have shown that not only are the winter holidays associated with heart problems, but that when they do happen, they are more likely to be fatal. According to a 2004 study published in the journal Circulation, researchers discovered increases of 5% more heart-related deaths during the holiday season.


It might be helpful to join an Alcoholics Anonymous (AA) or other support groups. You may also consider calling the Substance Abuse and Mental Health Services Administration's Helpline for support and resources for substance use including excessive drinking.


After Let It Snow, Hallmark released its first holiday feature featuring gay protagonists, The Christmas House, starring Jonathan Bennett of Mean Girls. Meanwhile Hulu released Happiest Season, a Big Deal lesbian holiday offering with Kristen Stewart, Mackenzie Davis and Aubrey Plaza. Finally, we got a star-studded, heartfelt and festive holiday rom-com about a queer relationship, complete with a coming-out narrative.


Holiday Heart is a 2000 drama film that stars Ving Rhames, Alfre Woodard, and Jesika Reynolds. It follows the story of a drag queen named Holiday Heart who takes in a drug-addicted woman and her young daughter and tries to help them turn their lives around. The film opens with Holiday Heart performing in a drag show at a local bar. He meets a woman named Wanda (Alfre Woodard), who is struggling with addiction and living in a motel with her daughter, Nikkie (Jesika Reynolds). Holiday Heart takes them under his wing and offers them a place to stay.


Over time, Holiday Heart forms a close bond with Nikkie and becomes a surrogate father to her. Despite his unconventional lifestyle, he is a kind and caring person who genuinely wants to help Wanda and Nikkie overcome their struggles. However, their path to recovery is not an easy one as they face numerous challenges, including Wanda's addiction, financial difficulties, and prejudice and discrimination from the people around them.


As the story unfolds, we see the characters struggle and grow as they face their demons and try to rebuild their lives. Rhames delivers a heartwarming performance as Holiday Heart, a character who is both flamboyant and vulnerable. Woodard also delivers a strong performance as Wanda, portraying the character's struggles with addiction and her desire to provide a better life for her daughter.


The film highlights issues of addiction, poverty, and prejudice, but it also shows the power of compassion, kindness, and acceptance in overcoming these challenges. While some of the scenes are heavy and emotional, there are also moments of levity and humor that balance out the tone.


The film's direction by Robert Townsend is solid, and the pacing is well-constructed. The script by Cheryl L. West is insightful, and the dialogue feels natural and organic. The setting of the film, set in Chicago, adds to the story's authenticity and realism.


The film's soundtrack is also excellent, featuring a variety of songs that complement the film's themes and emotional beats. The music ranges from gospel to soul to hip-hop, reflecting the cultural diversity of the characters.


Overall, Holiday Heart is a well-made and heartfelt film that tackles serious issues with sensitivity and insight. It boasts strong performances from its lead actors and delivers an ultimately uplifting message about the power of love, acceptance, and redemption. It is a must-watch for fans of drama and character-driven stories.


ABC News' Dr. Jen Ashton recently broke down \"holiday heart,\" examining what causes this potentially dangerous heart irregularity, and some effective ways to monitor the heart, while enjoying the holiday season.


Another way to combat the serious consequences of holiday heart is to understand the symptoms of an arrhythmia. One big symptom to watch for, according to Ashton, is the feeling of fluttering in your chest.


Monitoring your pulse for an \"iregularly regular\" heartbeat is also an effective way to pick up on arrhythmias, Ashton said. One can put two fingers on the side of the neck, over the carotid arteries, or on the line of your thumb, covering your radial artery, to monitor for irregular heartbeat.


\"While the staff in emergency rooms and hospitals don't take vacation, a lot of times pharmacies have different holiday hours, and doctors or healthcare providers have different holiday hours,\" Ashton said.


It is relevant to note that chronic consumption of large quantities of alcohol (In the context of this article, alcohol refers specifically to ethanol) has long been recognized to induce an alcoholic cardiomyopathy. Clinically similar to idiopathic dilated cardiomyopathy, alcoholic cardiomyopathy is a major form of secondary dilated cardiomyopathy in the western world. (See the Medscape Drugs and Diseases articles Alcoholic Cardiomyopathy and Dilated Cardiomyopathy.) With this change in cardiac structure and decline in function, there exists the substrate for atrial and ventricular arrhythmias. [2]


In the modern era, the term HHS has primarily been used to refer to acute cardiac rhythm disturbances related to acute alcohol consumption (ie, binge drinking), regardless of the underlying cardiac disease. [3] This is supported by the fact that the effect of alcohol on the induction of arrhythmias is dose dependent, and it is independent of preexisting cardiovascular diseases or heart failure. [4] Even modest alcohol intake can be identified as a trigger in some patients with paroxysmal atrial fibrillation. [3, 5] Although less rigorously studied, it should be noted that other substances associated with binge drinking certainly may contribute. As such, similar reports have indicated that recreational use of marijuana may have corresponding effects. [6]


The most common rhythm disorder with HHS is atrial fibrillation. [7, 8] HHS should be considered as a diagnosis in patients without structural heart disease and with new-onset atrial fibrillation. [9]


Several mechanisms are theorized to be responsible for the arrhythmogenicity of alcohol. They may be characterized into two broad groups: direct effects on the myocardium and alcohol's effect on traditional risk factors for atrial fibrillation.


With regard to direct effects on the atrial myocardium, alcohol causes a autonomic nervous system imbalance. Alcohol increases sympathetic nervous system (SNS) activity (and its related increased secretion of epinephrine and norepinephrine), with resultant effects including an increased release of calcium into the myocytes from the sarcoplasmic reticulum. [3, 10] Increased SNS activity is further evidenced by a marked increase in the incidence of sinus tachycardia and reduced respiratory sinus arrhythmia during acute alcohol intoxication. [11] Consequently, the parasympathetic nervous system (PNS) is activated as well, with an increased intermittent vagal tone, which has been shown to also shorten the atrial refractory period and preciptate atrial fibrillation. [10] Note that the risk of atrial fibrillation persists into the "hangover" and/or withdrawal phase, which corresponds with an increased sympathetic tone. [3]

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