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Cited by 107Coffee research and impactsCardiac electrophysiology and arrhythmiasAtrial Fibrillation Management and Outcomes

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Atrial fibrillation in healthy adolescents after highly caffeinated beverage consumption: two case reports

Open access
Di Rocco, Jennifer R, During, Adelaide, Morelli, Peter J, Heyden, Marybeth, Biancaniello, Thomas A·2011·Journal of Medical Case Reports
DOI 10.1186/1752-1947-5-18PMC PMC3038953
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Abstract

INTRODUCTION: Energy drinks and highly caffeinated drinks comprise some of the fastest growing products of the beverage industry, often targeting teenagers and young adults. Cardiac arrhythmias in children related to high caffeine consumption have not been well described in the literature. This case series describes the possible association between the consumption of highly caffeinated drinks and the subsequent development of atrial fibrillation in the adolescent population. CASE PRESENTATIONS: We report the cases of two Caucasian adolescent boys of 14 and 16 years of age at the time of presentation, each without a significant cardiac history, who presented with palpitations or vague chest discomfort or both after a recent history of excessive caffeine consumption. Both were found to have atrial fibrillation on electrocardiogram; one patient required digoxin to restore a normal sinus rhythm, and the other self-converted after intravenous fluid administration. CONCLUSION: With the increasing popularity of energy drinks in the pediatric and adolescent population, physicians should be aware of the arrhythmogenic potential associated with highly caffeinated beverage consumption. It is important for pediatricians to understand the lack of regulation in the caffeine content and other ingredients of these high-energy beverages and their complications so that parents and children can be educated about the risk of cardiac arrhythmias with excessive energy drink consumption.

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Crossref · 10.1186/1752-1947-5-18

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Figures

Figure 1 Electrocardiogram showing narrow-complex tachycardia with atrial fibrillation and occasional atrial flutter with irregularly irregular ventricular response. Heart rate, 122 beats per minute; QRS, 88 ms; QTc, 433 ms.
Figure 1 Electrocardiogram showing narrow-complex tachycardia with atrial fibrillation and occasional atrial flutter with irregularly irregular ventricular response. Heart rate, 122 beats per minute; QRS, 88 ms; QTc, 433 ms.CC BY · PubMed Central
Figure 2 ECG showing normal sinus rhythm restored to 65 beats per minute after a dose of digoxin. PR interval, 129 ms; QRS, 100 ms; QTc, 398 ms.
Figure 2 ECG showing normal sinus rhythm restored to 65 beats per minute after a dose of digoxin. PR interval, 129 ms; QRS, 100 ms; QTc, 398 ms.CC BY · PubMed Central
Figure 3 ECG showing chaotic atrial tachycardia/atrial fibrillation with rapid ventricular response at a rate of 166 beats per minute. QRS, 97 ms; QTc, 492 ms.
Figure 3 ECG showing chaotic atrial tachycardia/atrial fibrillation with rapid ventricular response at a rate of 166 beats per minute. QRS, 97 ms; QTc, 492 ms.CC BY · PubMed Central
Figure 4 ECG showing restoration of normal sinus rhythm to 85 beats per minute after intravenous fluids. PR interval, 117 ms; QRS, 96 ms; QTc, 416 ms.
Figure 4 ECG showing restoration of normal sinus rhythm to 85 beats per minute after intravenous fluids. PR interval, 117 ms; QRS, 96 ms; QTc, 416 ms.CC BY · PubMed Central
Figure 5 Caffeine content of common commercial beverages as compared with FDA-approved safe content of up to 0.02% (6 mg/ounce).
Figure 5 Caffeine content of common commercial beverages as compared with FDA-approved safe content of up to 0.02% (6 mg/ounce).CC BY · PubMed Central

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Research works printed but not linked: 1

  1. Dubin A: Cardiac Arrhythmias: Nelson's Textbook of Pediatrics. Edited by: Kliegman et al. 2007, Philadelphia: Saunders Elsevier, 1942-1947. 18

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Metadata

Authors
Di Rocco, J. R., During, A., Morelli, P. J., Heyden, M., & Biancaniello, T. A.
Affiliations
  • Mount Sinai Beth Israel (US)
  • Stony Brook University (US)
Corresponding author
Morelli, Peter J
ORCID
Morelli, Peter J
Venue
Journal of Medical Case Reports
Publisher
Springer Science and Business Media LLC
Published
2011-01-19
Volume
5
Issue
1
Pages
18-18
ISSN
1752-1947 (ISSN-L)
DOI
10.1186/1752-1947-5-18
PMC
PMC3038953
OpenAlex
W2154752334
Cited by
107
References
14
Citations by year
2026: 2 · 2025: 3 · 2024: 6 · 2023: 11 · 2022: 3 · 2021: 9 · 2020: 4 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 11 · 2015: 9 · 2014: 9 · 2013: 5 · 2012: 9
FWCI
6.09
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Medical Case Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology (medical) › Coffee research and impacts
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Keywords
atrial fibrillation, energy drinks, caffeine, adolescents, cardiac arrhythmias, palpitations, digoxin, pediatric cardiology

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