Miocardiopatia alcoólica
um relato de caso
DOI:
https://doi.org/10.29327/2457362.65.66-5Palavras-chave:
álcool, cardiomiopatia alcoólica, insuficiência cardíacaResumo
Introdução: A cardiomiopatia alcoólica corresponde a um tipo de cardiomiopatia dilatada adquirida, associada ao consumo excessivo e prolongado de bebidas alcoólicas. Existem duas fases: fase pré-clínica e fase sintomática (caracterizada por sinais e sintomas de insuficiência cardíaca). O diagnóstico é frequentemente efetuado numa fase mais tardia, com comprometimento acentuado da função sistólica global. Objetivo: Relatar o caso clínico constituído de um paciente com cardiomiopatia alcoólica. Relato de Caso: Paciente do sexo masculino, 62 anos, hipertenso, com antecedentes de internação por hemorragia digestiva alta, que recorre à consulta para realização de ajuste de antihipertensivo. Em termos de semiologia, não se observou alterações significativas. Ao exame objetivo, foi detectado dilatação das cavidades cardíacas esquerdas e fração de ejeção de 34%. A partir disso, foi solicitado a realização de uma ressonância magnética miocárdica, onde evidenciou-se o diagnóstico de cardiomiopatia dilatada de provável etiologia etílica, sendo indicado o implante do cardioversor desfibrilador implantável (CDI). Considerações finais: Portanto, a cardiomiopatia dilatada é uma patologia com elevado impacto na morbi-mortalidade e na qualidade de vida dos doentes, sendo que o seu diagnóstico precoce é essencial para a prevenção/diminuição da progressão da doença. O ensino aos doentes sobre os efeitos adversos associados ao consumo de álcool excessivo é essencial na prevenção do desenvolvimento desta patologia e/ou na prevenção de progressão da insuficiência cardíaca.
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