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How to diagnose alcoholic cardiomyopathy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

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

Please help.
Answered by Dr. Pramod Bhanudas Narkhede

Education:

MBBS

Professional Bio:

Dr. Pramod Bhanudas Narkhede is a certified Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, heart failure, and arrhythmias. He is skilled in performing ECG, echocardiography, and stress testing, along with managing cardiac emergencies. Known for his precise clinical judgment and patient-focused care, Dr. Narkhede is committed to improving heart health through advanced, evidence-based cardiology practices.

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Hi,

Welcome to icliniq.com.

Alcohol effects on left ventricular function can be reversible. Several 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 favorable 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 the early stages.

I hope this helps.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 13, 2017
Reviewed At September 25, 2024

Education:

MBBS

Professional Bio:

Dr. Pramod Bhanudas Narkhede is a certified Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, heart failure, and arrhythmias. He is skilled in performing ECG, echocardiography, and stress testing, along with managing cardiac emergencies. Known for his precise clinical judgment and patient-focused care, Dr. Narkhede is committed to improving heart health through advanced, evidence-based cardiology practices.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Pramod Bhanudas Narkhede
Dr. Pramod Bhanudas Narkhede

Cardiology

Education:

MBBS

Professional Bio:

Dr. Pramod Bhanudas Narkhede is a certified Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, heart failure, and arrhythmias. He is skilled in performing ECG, echocardiography, and stress testing, along with managing cardiac emergencies. Known for his precise clinical judgment and patient-focused care, Dr. Narkhede is committed to improving heart health through advanced, evidence-based cardiology practices.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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