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?
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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.
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