When Tachycardia Tells Two Stories: The Diagnostic Dilemma of Concurrent Upper Gastrointestinal Hemorrhage and Alcohol Withdrawal Syndrome in a Post-Coronary Artery Bypass Graft Patient
Ann Tanyous, Iten Tanyous, Alaa-Salah Eldin · 2026
Read When Tachycardia Tells Two Stories: The Diagnostic Dilemma of Concurrent Upper Gastrointestinal Hemorrhage and Alcohol Withdrawal Syndrome in a Post-Coronary Artery Bypass Graft Patient by Ann Tanyous, Iten Tanyous, Alaa-Salah Eldin (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13524003.txt.
Description
Ann Tanyous, Iten Tanyous, and Alaa-Salah Eldin present a 2026 case report built around a fast heart rate that could mean two opposite emergencies. A 57-year-old man with prior triple bypass surgery and peptic ulcer disease arrived vomiting blood while taking low-dose aspirin without stomach protection. Scoping showed inflamed, eroded stomach lining without active bleeding.
Hours after intensive care admission, the man developed tachycardia and tremors. One explanation was renewed bleeding with low blood volume, calling for fluids, while the other was alcohol withdrawal, where a racing heart reflects overactive stress responses needing sedation. A standard withdrawal scale is not validated during acute illness and can mislead. Records showed fifteen years of progression from denied drinking to dependence. The authors propose a bedside framework and urge repeated alcohol screening.
Catalog record
| CREATOR | Ann Tanyous, Iten Tanyous, Alaa-Salah Eldin |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 30 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |