Holiday Heart Type II

To the Editor: We wish to report a clinical syndrome, which we have named holiday heart Type II. Unlike the holiday heart syndrome of atrial fibrillation or flutter after binge alcohol abuse,* this syndrome involves atrial flutter occurring after a different type of celebration. A 79-year-old man with a history of coronary artery disease underwent coronary-artery bypass surgery in July 1987. He had a history of paroxysmal atrial flutter and was maintained on a regimen of procainamide (750 mg four times a day) and aspirin (Ecotrin; 325 mg per day). He was doing well at home until the evening of…