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Cardiac arrhythmias in patients with AAN might increase the probability of sudden cardiac death, which is probably due to toxic effects of alcohol on a cardiac muscle that is also observed in alcoholic cardiomyopathy [168, 169]

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According to DSM-5, alcohol abuse might be diagnosed when at least two of the following symptoms appear in the 12-month period, and these are (1) greater alcohol intake or prolonged alcohol intake that was not initially intended, (2) unsuccessful efforts to control the amounts of alcohol consumed, (3) activities that aim to obtain alcohol, (4) a strong desire to use alcohol, (5) repetitive alcohol consumption and coexisting failures in the everyday life activities, (6) continuous alcohol consumption despite the appearing of the disturbed interpersonal relationships, (7) given up of crucial activities only to obtain alcohol, (8) alcohol abuse in physically hazardous situations, (9) the continuation of alcohol consumption being aware of its toxic side effects, (10) the appearance of alcohol tolerance, and (11) the appearance of a withdrawal syndrome