{"id":300,"date":"2025-12-19T18:51:31","date_gmt":"2025-12-19T18:51:31","guid":{"rendered":"https:\/\/etakoda.ee\/?p=300"},"modified":"2026-01-02T11:19:22","modified_gmt":"2026-01-02T11:19:22","slug":"mis-asi-on-holiday-heart-syndrome-ehk-puhadeaegne-sudame-sundroom","status":"publish","type":"post","link":"https:\/\/etakoda.ee\/index.php\/2025\/12\/19\/mis-asi-on-holiday-heart-syndrome-ehk-puhadeaegne-sudame-sundroom\/","title":{"rendered":"Mis asi on \u201choliday heart syndrome\u201d ehk p\u00fchadeaegne s\u00fcdame s\u00fcndroom?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">19.12.2025 &#8211; \u201cHoliday heart syndrome\u201d k\u00f5lab peaaegu nagu midagi r\u00f5\u00f5msat, aga tegelikult viitab see olukorrale, kus p\u00e4rast suuremat alkoholitarbimist tekib l\u00fchiajaliselt s\u00fcdame r\u00fctmih\u00e4ire (ar\u00fctmia). Klassikaline n\u00e4ide on p\u00fchadeaegne tarbimismudel, kus m\u00f5ne p\u00e4eva jooksul juuakse korraga palju, ning sellele j\u00e4rgneb s\u00fcdamekloppimine ja ebaregulaarne r\u00fctm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u00f5iste tekkis 1978. aastal, kui USA-s New Jerseys t\u00f6\u00f6tanud arst m\u00e4rkas seost p\u00fchade ja n\u00e4dalavahetuste joomingute ning seej\u00e4rel haiglasse sattunud r\u00fctmih\u00e4irete vahel. Sama aasta <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/000287037890296X?via%3Dihub\">American Heart Journal\u2019i <\/a>artiklis kirjeldati 32 haiglaravi episoodi 24 inimesel, kellel ei olnud p\u00e4rast r\u00fctmih\u00e4ire ravi selget \u201cp\u00e4ris\u201d s\u00fcdamehaigust, kuid kelle episoodid j\u00e4rgnesid sageli just n\u00e4dalavahetuse v\u00f5i p\u00fchade joomingutele. K\u00f5ige sagedasem r\u00fctmih\u00e4ire oli kodade virvendus (atrial fibrillation, AFib), aga esines ka teisi r\u00fctmih\u00e4ireid.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Miks just kodade virvendusar\u00fctmia (AFib)?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Kodade virvendus t\u00e4hendab, et s\u00fcdame \u00fclemised kambrid (kojad) hakkavad \u201cv\u00e4risema\u201d ja r\u00fctm muutub ebakorrap\u00e4raseks. Tekstides r\u00f5hutatakse, et seos alkoholi ja AFib\u2019i vahel on aastatega selgemaks saanud. Dr Mariann R. Piano (Vanderbilt University School of Nursing) on toonud v\u00e4lja, et kuigi \u201choliday heart\u201d sobib nimeks, sest alkoholi m\u00fc\u00fck t\u00f5useb p\u00fchadeperioodil (USA-s t\u00e4nup\u00fchadest uusaastani), on see teema sisuliselt aastaringne.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mis alkoholi puhul s\u00fcdamele \u201chalvasti m\u00f5jub\u201d?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Teadusuuringud toovad v\u00e4lja v\u00e4lja mitu mehhanismi ja riskifaktorit:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alkohol v\u00f5ib kahjustada s\u00fcdamelihast ja m\u00f5jutada selle t\u00f6\u00f6v\u00f5imet.<\/li>\n\n\n\n<li>Alkohol suurendab urineerimist, mis v\u00f5ib viia elektrol\u00fc\u00fctide tasakaalu h\u00e4irumiseni (s\u00fcda vajab \u00f5iges koguses elektrol\u00fc\u00fcte, et r\u00fctm p\u00fcsiks stabiilne).\n<ol start=\"1978\" class=\"wp-block-list\">\n<li>aasta haiglajuhtude kirjelduses mainiti osadel patsientidel ka m\u00f6\u00f6duvat h\u00fcpokaleemiat (madal kaalium).<\/li>\n<\/ol>\n<\/li>\n\n\n\n<li>Krooniline, suurtes kogustes joomine on ammu teadaolevalt seotud alkohoolse kardiom\u00fcopaatiaga (s\u00fcdame laienemine ja n\u00f5rgenemine). Kui s\u00fcdame struktuur ja talitlus muutuvad, tekib \u201cp\u00f5hi\u201d, mille pealt r\u00fctmih\u00e4ired kergemini vallanduvad.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00e4nap\u00e4eval kasutatakse \u201choliday heart syndrome\u201d m\u00f5istet tavaliselt olukorra kirjeldamiseks, kus r\u00fctmih\u00e4ire tekib p\u00e4rast l\u00fchikese aja jooksul tarvitatud suuremat alkoholikogust. See v\u00f5ib juhtuda nii inimesel, kellel ei ole varem teadaolevat s\u00fcdamehaigust, kui ka inimesel, kellel see on olemas. Risk kasvab \u00fcldiselt koos tarvitatud alkoholikogusega, kuid osa inimesi v\u00f5ib olla tundlikum, nii et r\u00fctmih\u00e4ire v\u00f5ib vallanduda ka v\u00e4iksema koguse j\u00e4rel, eriti kui kodade virvendus kipub neil tekkima hoogudena.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Millised s\u00fcmptomid v\u00f5ivad viidata p\u00fchade s\u00fcdame s\u00fcndroomile?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00fc\u00fcpiliste s\u00fcmptomitena loetletakse:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>s\u00fcdamekloppimine (palpitatsioonid)<\/li>\n\n\n\n<li>v\u00e4simus<\/li>\n\n\n\n<li>\u00f5hupuudus<\/li>\n\n\n\n<li>n\u00f5rkus<\/li>\n\n\n\n<li>valu rinnus<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Need s\u00fcmptomid ei ole \u201cp\u00fchade erip\u00e4ra\u201d, need on s\u00fcdame r\u00fctmih\u00e4ire v\u00f5imalikud tunnused \u00fcldiselt, seega tasub neid v\u00f5tta t\u00f5siselt, eriti kui need tekivad p\u00e4rast suuremat joomist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ennetus, mis v\u00e4hendab riski k\u00f5ige kindlamalt<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ennetus on s\u00f5nastatud \u00fcsna \u00fcheselt: k\u00f5ige kindlam viis p\u00fchade s\u00fcdame s\u00fcndroomi v\u00e4ltida on mitte juua alkoholi. Lisasoovitustena tuuakse v\u00e4lja:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>piirata \u00fcles\u00f6\u00f6mist, eriti soolaseid toite<\/li>\n\n\n\n<li>hoida regulaarset liikumist<\/li>\n\n\n\n<li>v\u00f5tta aega puhkuseks ja stressi juhtimiseks<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">Allikad:<br><a href=\"https:\/\/www.heart.org\/en\/news\/2025\/12\/15\/before-you-toast-know-the-risks-of-holiday-heart-syndrome\">American Heart Association<\/a><br><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/000287037890296X?via%3Dihub\">American Heart Journal<\/a><br><a href=\"https:\/\/emedicine.medscape.com\/article\/155050-overview?form=fpf\">Medscape<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">ETAK on Sotsiaalministeeriumi strateegiline partner &#8220;S\u00f5ltuvush\u00e4irete programmi&#8221; toetamisel. Projekti toetab Sotsiaalministeerium.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"410\" src=\"https:\/\/etakoda.ee\/wp-content\/uploads\/2024\/01\/sotsmin_3lovi_est-1024x410.png\" alt=\"\" class=\"wp-image-106\" srcset=\"https:\/\/etakoda.ee\/wp-content\/uploads\/2024\/01\/sotsmin_3lovi_est-1024x410.png 1024w, https:\/\/etakoda.ee\/wp-content\/uploads\/2024\/01\/sotsmin_3lovi_est-300x120.png 300w, https:\/\/etakoda.ee\/wp-content\/uploads\/2024\/01\/sotsmin_3lovi_est-768x307.png 768w, https:\/\/etakoda.ee\/wp-content\/uploads\/2024\/01\/sotsmin_3lovi_est-1536x614.png 1536w, https:\/\/etakoda.ee\/wp-content\/uploads\/2024\/01\/sotsmin_3lovi_est.png 1890w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>19.12.2025 &#8211; \u201cHoliday heart syndrome\u201d k\u00f5lab peaaegu nagu midagi r\u00f5\u00f5msat, aga tegelikult viitab see olukorrale, kus p\u00e4rast suuremat alkoholitarbimist tekib l\u00fchiajaliselt s\u00fcdame r\u00fctmih\u00e4ire (ar\u00fctmia). Klassikaline n\u00e4ide on p\u00fchadeaegne tarbimismudel, kus m\u00f5ne p\u00e4eva jooksul juuakse korraga palju, ning sellele j\u00e4rgneb s\u00fcdamekloppimine ja ebaregulaarne r\u00fctm. M\u00f5iste tekkis 1978. aastal, kui USA-s New Jerseys t\u00f6\u00f6tanud arst m\u00e4rkas seost [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":301,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[5],"tags":[77,140,139,143,138,137,141,142],"class_list":["post-300","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artiklid","tag-alkohol-ja-tervis","tag-holiday-heart-syndrome","tag-kodade-virvendus","tag-puhadeaegne-joomine","tag-puhadestress","tag-sudame-rutmihaired","tag-sudame-tervis","tag-sudamekloppimine"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/etakoda.ee\/wp-content\/uploads\/2025\/12\/ChatGPT-Image-Dec-19-2025-08_51_00-PM.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/posts\/300","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/comments?post=300"}],"version-history":[{"count":3,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/posts\/300\/revisions"}],"predecessor-version":[{"id":308,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/posts\/300\/revisions\/308"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/media\/301"}],"wp:attachment":[{"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/media?parent=300"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/categories?post=300"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/etakoda.ee\/index.php\/wp-json\/wp\/v2\/tags?post=300"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}