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Ice-Water-Induced Arrhythmias in a Patient with Ischemic Heart Disease

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Department of Medicine, New York University Medical Center; New York, New York

Ann Intern Med. 1982;96(5):614-615. doi:10.7326/0003-4819-96-5-614
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Current recommendations for managing patients with acute myocardial infarction include the suggestion that they avoid cold drinks (1). There has been little documentation of serious arrhythmias in this group of patients when they drink cold liquids, and recent reports suggest that they may drink ice water without any danger (2-4). We describe a patient with acute myocardial ischemia in whom sinus bradycardia and second degree atrioventricular block were seen after he swallowed cold liquids.

A 60-year-old man with a history of myocardial infarction and stable angina pectoris was admitted to a coronary care unit after a prolonged episode of substernal


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