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Binge drinking is also associated with strokes and sudden death. Binge drinking increases the risk of stroke by 10 times. In countries where binge drinking is commonplace, rates of sudden death on the weekend in young adults and middle aged people increase significantly. The withdrawal phase after an episode of binge drinking is particularly associated with ischaemic stroke as well as subarachnoid haemorrhage and intracerebral haemorrhage in younger men. In individuals with an underlying cardiac disorder a binge on alcohol increases the risk of silent myocardial ischaemia as well as angina. Binge drinking has negative effects on metabolism, lipid profile, blood coagulation and fibrinolysis, blood pressure and vascular tone and is associated with embolic stroke and acute myocardial infarction. Due to these risks experts believe that it is extremely important to warn people of the risks of binge drinking. Binge-drinking by people otherwise considered to be light drinkers is associated with an increased risk of cardiovascular problems and mortality. Binge drinking increases cardiovascular toxicity due to its adverse effects on the electrical conduction system of the heart and the process of atherothrombosis. Excessive alcohol consumption is responsible for an average of 80,000 deaths in the U.S. each year1 and $223.5 billion in economic costs in 2006.2 More than half of these deaths and three-quarters of the economic costs are due to binge drinking1 and 2 (≥4 drinks for women; ≥5 drinks for men, per occasion).