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{{Infobox_Disease
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{{Alcoholic cardiomyopathy}}
| Image          =
{{CMG}}; {{AE}}  {{RT}}; {{HP}}
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| ICD10          = {{ICD10|I|42|6|i|30}}
| ICD9          = {{ICD9|425.5}}
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| OMIM          =
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{{CMG}}
'''For patient information, click [[Dilated cardiomyopathy (patient information)|here]]'''


'''Alcoholic cardiomyopathy''' is a disease in which the abuse of [[alcohol]] use damages the [[heart]] muscle causing [[heart failure]].
==[[Alcoholic cardiomyopathy overview|Overview]]==


==Pathophysiology==
==[[Alcoholic cardiomyopathy historical perspective|Historical Perspective]]==
Alcoholic cardiomyopathy is a type of [[Dilated cardiomyopathy]]. Due to the abuse of [[alcohol]] the heart may become weakened and will not pump blood efficiently leading to [[heart failure]]. It can effect other parts of the body if the heart failure is severe.


==Epidemiology and Demographics==
==[[Alcoholic cardiomyopathy pathophysiology|Pathophysiology]]==
It is more prevalent in middle age men between the ages of 35-50.


==Diagnosis==
==[[Alcoholic cardiomyopathy differential diagnosis|Differentiating Alcoholic cardiomyopathy from other Diseases]]==
===History===
The quantity and duration of alcohol consumption as well as the nutritional status of the patient should be inquired about.


Abnormal heart sounds, murmurs
==[[Alcoholic cardiomyopathy epidemiology and demographics|Epidemiology and Demographics]]==


[[Echocardiogram]] abnormalities and [[cardiac catheterization]] or [[angiogram]] to rule out coronary artery blockages
==[[Alcoholic cardiomyopathy natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


===Symptoms===
==Diagnosis==
Symptoms presented by the occurrence of alcoholic cardiomyopathy are the result of the heart failing and usually occur after the disease has progressed to an advanced stage. Therefore the symptoms have a lot in common with other forms of [[cardiomyopathy]]:
[[Alcoholic cardiomyopathy history and symptoms|History and Symptoms ]] | [[ Alcoholic cardiomyopathy physical examination|Physical Examination]] | [[Alcoholic cardiomyopathy laboratory findings|Laboratory Findings]] | [[Alcoholic cardiomyopathy electrocardiogram|Electrocardiogram]] | [[Alcoholic cardiomyopathy chest x ray|Chest X Ray]] | [[Alcoholic cardiomyopathy echocardiography|Echocardiography]] | [[Alcoholic cardiomyopathy other imaging findings|Other Imaging Findings]] | [[Alcoholic cardiomyopathy other diagnostic studies|Other Diagnostic Studies]]
 
*Ankle, feet, and leg swelling
*Overall swelling
*Loss of appetite
*Shortness of breath, especially with activity
*Breathing difficulty while lying down
*Fatigue, weakness, faintness
*[[Decreased alertness]] or [[decreased concentration]]  
*Cough containing mucus, or pink, frothy material
*Decreased urine output (oliguria)
*Need to urinate at night (nocturia)
*[[Palpitations]]  
*[[Irregular pulse]] or rapid pulse
 
===Electrocardiogram===
*Reduced voltage may be present
*[[T wave alternans]] may be present
 
===Chest X-ray===
*[[Cardiomegaly]] or [[an enlarged heart]] is present


==Treatment==
==Treatment==
Treatment for Alcoholic cardiomyopathy involves a lifestyle change as well as treatment through medication. If the heart failure is severe the effectiveness of treatment will be limited.
[[Alcoholic cardiomyopathy medical therapy|Medical Therapy]] | [[Alcoholic cardiomyopathy surgery |Surgery]] | [[Alcoholic cardiomyopathy primary prevention|Primary Prevention]] |[[Alcoholic cardiomyopathy secondary prevention|Secondary Prevention]] | [[Alcoholic cardiomyopathy cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Alcoholic cardiomyopathy future or investigational therapies|Future or Investigational Therapies]]
 
Medication may include, [[ACE inhibitors]] and [[Beta Blockers]] which are commonly used with other forms of cardiomyopathy to reduce the strain on the heart. The medication may include diuretics to help remove the excess liquid in the body.
Persons with congestive heart failure maybe considered for surgery insert and ICD or a pacemaker which can improve the heart function. In cases where the heart failure is irreversible and declining a heart transplant maybe considered.
Lifestyle changes would include an absitnance from alcohol, a low sodium diet and a reduction in the fluids consumed.
 
Treatment will possibly prevent the heart from deterioration but is unlikely to reverse the reduced function that has already occurred


==See Also==
==Case Studies==
[[Alcoholic cardiomyopathy case study one|Case #1]]


==Related Chapters==
* [[Cardiomyopathy]]
* [[Cardiomyopathy]]
* [[Dilated cardiomyopathy]]
* [[Congestive heart failure]]
* [[Anticoagulation in patients with dilated cardiomyopathy]]
* [[First degree AV block]]
* [[Second degree AV block]]
* [[Beriberi heart disease]]
* [[Alcoholic liver disease]]


{{Circulatory system pathology}}
{{WH}}
{{Electrocardiography}}
{{WS}}
[[CME Category::Cardiology]]


[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Latest revision as of 19:39, 14 March 2016

Alcoholic cardiomyopathy Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Differentiating Alcoholic cardiomyopathy from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Alcoholic cardiomyopathy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

slides

Images

American Roentgen Ray Society Images of Alcoholic cardiomyopathy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Alcoholic cardiomyopathy

CDC on Alcoholic cardiomyopathy

Alcoholic cardiomyopathy in the news

Blogs on Alcoholic cardiomyopathy

Directions to Hospitals Treating Alcoholic cardiomyopathy

Risk calculators and risk factors for Alcoholic cardiomyopathy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]; Hardik Patel, M.D.

For patient information, click here

Overview

Historical Perspective

Pathophysiology

Differentiating Alcoholic cardiomyopathy from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Chest X Ray | Echocardiography | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention |Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

Template:WH Template:WS CME Category::Cardiology

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