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HomeAnswersCardiologyalcoholismI am an alcoholic. Do I have alcoholic cardiomyopathy?

How to diagnose alcoholic cardiomyopathy?

How to diagnose alcoholic cardiomyopathy?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 13, 2017
Reviewed AtJanuary 29, 2024

Patient's Query

Hi doctor,

I am a heavy drinker. I have been getting heart pain and fast heart rate. How to get diagnosed with alcoholic cardiomyopathy when the echo test result is normal, and 24-hour ECG test shows tachycardia?

Hi,

Welcome to icliniq.com.

Alcohol effects on left ventricular function can be reversible. A number of small studies have demonstrated that if it is started before fibrosis, abstinence from alcohol can result in significant improvement in left ventricular function. A short duration of symptoms of heart failure and abstinence from alcohol are the two factors associated with favourable outcomes. The prognosis of patients with alcohol-induced cardiomyopathy is poor with the continuous use of alcohol. The reported mortality rates are as high as 42% in three years. Light microscopic altered structure and function of myocardial fibers can detect alcohol cardiomyopathy, where echo failed to reveal any abnormality in early stages.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pramod Bhanudas Narkhede
Dr. Pramod Bhanudas Narkhede

Cardiology

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