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