{"id":5669,"date":"2025-12-31T07:16:29","date_gmt":"2025-12-31T07:16:29","guid":{"rendered":"http:\/\/almomento.net\/?p=1089011"},"modified":"2025-12-31T07:16:29","modified_gmt":"2025-12-31T07:16:29","slug":"celebrar-sin-perder-el-ritmo-riesgos-de-la-navidad","status":"publish","type":"post","link":"https:\/\/sarmiento24h.com\/?p=5669","title":{"rendered":"Celebrar sin perder el ritmo: riesgos de la Navidad"},"content":{"rendered":"

<\/p>\n

\"imagen\"<\/a><\/p>\n

El autor es cardi\u00f3logo de Cedimat. Reside en Santo Domingo<\/p>\n<\/p><\/div>\n

POR ELIOMAR GARCIA BELLO<\/b><\/p>\n

Mientras las familias brindan y disfrutan de banquetes y  cada Navidad y A\u00f1o Nuevo los servicios de emergencias registran un aumento significativo de consultas por eventos cardiovasculares, muchos de ellos potencialmente graves. El repunte incluye infartos de miocardio, accidentes cerebrovasculares y, de forma destacada, arritmias card\u00edacas. Ya en 1978, el cardi\u00f3logo Philip Ettinger observ\u00f3 este patr\u00f3n repetido tras los periodos festivos y acu\u00f1\u00f3 el t\u00e9rmino \u201cs\u00edndrome del coraz\u00f3n festivo\u201d<\/i> (Holiday Heart Syndrome).<\/p>\n

Desde entonces, el concepto funciona como una advertencia cl\u00ednica que reaparece cada fin de a\u00f1o. Se define como la aparici\u00f3n de arritmias, principalmente fibrilaci\u00f3n auricular asociadas a un consumo de alcohol inusualmente elevado y concentrado en un corto periodo de tiempo.<\/p>\n

Expertos de instituciones como la American Heart Association (AHA), Cleveland Clinic y la Fundaci\u00f3n Espa\u00f1ola del Coraz\u00f3n (FEC) coinciden: en este contexto, el alcohol es el principal detonante de esta arritmia. El consumo excesivo act\u00faa como un t\u00f3xico que interfiere con el sistema el\u00e9ctrico del coraz\u00f3n. Adem\u00e1s del efecto t\u00f3xico directo sobre las c\u00e9lulas card\u00edacas, se han propuesto otros mecanismos:<\/p>\n

\u25cf Liberaci\u00f3n de catecolaminas:<\/b> El alcohol provoca la liberaci\u00f3n de hormonas del estr\u00e9s (adrenalina y noradrenalina), que aceleran el pulso.<\/p>\n

\u25cf Alteraci\u00f3n el\u00e9ctrica:<\/b> El etanol y su metabolito, el acetaldeh\u00eddo, desorganizan la actividad el\u00e9ctrica de las aur\u00edculas, generando un origen y propagaci\u00f3n ca\u00f3tica de los impulsos normales.<\/p>\n

\u25cf Desequilibrio electrol\u00edtico:<\/b> La intoxicaci\u00f3n y la deshidrataci\u00f3n (o v\u00f3mitos) pueden desequilibrar electrolitos cruciales como el potasio y el magnesio, claves para la estabilidad del ritmo card\u00edaco.<\/p>\n

Estudios citados confirman la preocupaci\u00f3n: en personas con historial arr\u00edtmico, consumir m\u00e1s de dos tragos en cuatro horas puede multiplicar por tres y media la probabilidad de un episodio de fibrilaci\u00f3n auricular. Esto no es exclusivo de pacientes con antecedentes, ni tampoco de personas mayores de 65 a\u00f1os, en quienes la FA es m\u00e1s frecuente. Se estima que hasta el 63 % de los casos nuevos de FA en pacientes menores de 65 a\u00f1os podr\u00edan estar vinculados al consumo de alcohol.<\/p>\n

Demasiados ingredientes en el c\u00f3ctel<\/b><\/p>\n

Aunque el alcohol es el principal desencadenante, el entorno festivo crea una mezcla de elementos da\u00f1inos para el coraz\u00f3n:<\/p>\n

\u25cf Comilonas y exceso de sal:<\/b> Las comidas copiosas y ricas en grasas y sal sobrecargan el coraz\u00f3n, llegando a cuadruplicar transitoriamente el riesgo de infarto en las horas posteriores a una ingesta muy abundante.<\/p>\n

\u25cf Estr\u00e9s y falta de sue\u00f1o:<\/b> Los compromisos sociales, los viajes y la alteraci\u00f3n de la rutina del descanso aumentan el estr\u00e9s f\u00edsico y emocional.<\/p>\n

\u25cf Fr\u00edo y omisi\u00f3n de medicaci\u00f3n:<\/b> El fr\u00edo invernal y el descuido en la toma de medicamentos habituales por estar \u201cde fiesta\u201d son riesgos adicionales que pueden descompensar la presi\u00f3n arterial.<\/p>\n

S\u00edntomas de alerta y prevenci\u00f3n<\/b><\/p>\n

El s\u00edndrome del coraz\u00f3n festivo suele manifestarse con la aparici\u00f3n de s\u00edntomas entre 12 y 48 horas despu\u00e9s de atracones e ingesta abundante de alcohol. Los signos m\u00e1s comunes que obligan a buscar atenci\u00f3n m\u00e9dica son:<\/p>\n

\u25cf Palpitaciones o taquicardia.
\u25cf Pulso irregular.
\u25cf Dolor de pecho o disnea (falta de aire).
\u25cf Mareos, aturdimiento y desmayos.<\/p>\n

Afortunadamente, en la mayor\u00eda de los casos vinculados al consumo excesivo, el ritmo card\u00edaco suele normalizarse al suspender el alcohol. En otros, puede ser necesario recurrir a tratamiento farmacol\u00f3gico o incluso a intervenciones m\u00e9dicas. En cualquier escenario, la prevenci\u00f3n sigue siendo la mejor estrategia.<\/p>\n

Recomendaciones cardiosaludables para las fiestas:<\/b><\/p>\n

    \n
  1. Moderaci\u00f3n con el alcohol:<\/b> Evitar los atracones. Se sugiere un m\u00e1ximo de dos tragos diarios para hombres y uno para mujeres. Si existen factores de riesgo card\u00edaco, lo ideal es la abstinencia total.<\/li>\n
  2. No mezclar:<\/b> Evitar la combinaci\u00f3n de alcohol con bebidas energ\u00e9ticas o cafe\u00edna en exceso.<\/li>\n
  3. Dieta consciente:<\/b> Moderar las porciones en las comidas copiosas, evitar el exceso de sal y preferir preparaciones m\u00e1s ligeras.<\/li>\n
  4. Hidrataci\u00f3n y sue\u00f1o:<\/b> Beber suficiente agua (alternando con el alcohol) y priorizar el descanso.<\/li>\n
  5. Rutina y medicaci\u00f3n:<\/b> Mantener actividad f\u00edsica ligera y no suspender los medicamentos habituales.<\/li>\n<\/ol>\n

    Recuerde:<\/b> ante cualquier palpitaci\u00f3n o s\u00edntoma card\u00edaco an\u00f3malo tras las celebraciones, la consulta m\u00e9dica oportuna es fundamental.<\/p>\n

    jpm-am<\/i><\/p>\n

    \n

    Comp\u00e1rtelo en tus redes:<\/p>\n<\/div>\n


    \n<\/ins> <\/p>\n","protected":false},"excerpt":{"rendered":"

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