Alcoholic cardiomyopathy
a case report
DOI:
https://doi.org/10.29327/2457362.65.66-5Keywords:
alcohol, alcoholic cardiomyopathy, heart failureAbstract
Introducion: Alcoholic cardiomyopathy is a type of acquired dilated cardiomyopathy associated with excessive and prolonged alcohol consumption. There are two phases: the preclinical phase and the symptomatic phase (characterized by signs and symptoms of heart failure). The diagnosis is often made at a later stage, with significant impairment of overall systolic function. Objective: To report the clinical case of a patient with alcoholic cardiomyopathy. Case Report: A 62-year-old male patient, hypertensive, with a history of hospitalization for upper gastrointestinal bleeding, presented for consultation to adjust antihypertensive medication. No significant changes were observed in the semiological examination. Upon physical examination, left heart cavity dilation and an ejection fraction of 34% were detected. Following this, a cardiac magnetic resonance imaging was requested, which confirmed the diagnosis of dilated cardiomyopathy, likely of alcoholic etiology, and an implantable cardioverter-defibrillator (ICD) was recommended. Final considerations: Dilated cardiomyopathy is a disease with a significant impact on morbidity, mortality, and patients’ quality of life, and its early diagnosis is essential for preventing or slowing the progression of the disease. Patient education on the adverse effects associated with excessive alcohol consumption is crucial for preventing the development of this pathology and/or the progression of heart failure.
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