1/19. Echocardiographic evolution of left ventricular and left atrial thrombi in a patient with left ventricular dysfunction due to alcoholic cardiomyopathy, chronic atrial fibrillation and multiple non-fatal systemic embolisms.The echocardiographic characteristics and evolution of multiple pedunculated left atrial and left ventricular intracavitary thrombi in a patient with alcoholic cardiomyopathy are reported. The patient had a long history of left ventricular dysfunction and atrial fibrillation but the referring physician had not prescribed anticoagulant prophylaxis. Multiple, non-fatal, systemic embolizations occurred during hospitalization and echocardiography was used to monitor the effect of the anticoagulant therapy on the remodelling and final dissolution of intracavitary thrombi.- - - - - - - - - - ranking = 1keywords = alcoholic (Clic here for more details about this article) |
2/19. beriberi cardiomyopathy.In indonesia beriberi is still endemic, but subclinical cases are not uncommon. Three patients suffering from beriberi presented with different clinical manifestations. One had the classical features of Shoshin beriberi and the other two had the non-alcoholic cardiac beriberi (chronic type). The cardiac symptoms of all three patients responded dramatically to thiamine tetrahydrofurfuryl disulfide; there was also some improvement of their polyneuropathy, consistent with the neurophysiologic findings and somatosensory evoked potentials (SSEPs). We conclude that SSEPs provide additional clinical information on beriberi polyneuropathy. The mortality of untreated cardiovascular beriberi is high. In view of the harmless nature of the treatment, a good case could be made for routine administration of thiamine to all patients in whom heart failure is present without clear evidence of the cause.- - - - - - - - - - ranking = 0.2keywords = alcoholic (Clic here for more details about this article) |
3/19. Pulsus alternans induced by glyceryl trinitrate paste in a patient with alcoholic cardiomyopathy.Application of a small dose of glyceryl trinitrate paste (0.25 in) resulted in severe left ventricular dysfunction with the appearance of pulsus alternans in a patient with alcoholic cardiomyopathy. The echocardiogram showed a reduction in the amplitude and velocity of motion of the left ventricular posterior wall on alternate beats. leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality. Glyceryl trinitrate paste should be used with caution and under close supervision in patients with liver dysfunction.- - - - - - - - - - ranking = 1keywords = alcoholic (Clic here for more details about this article) |
4/19. Histopathological changes of biopsied myocardium in Shoshin beriberi.Cardiovascular beriberi is caused by thiamine deficiency and usually arises for one of two reasons: alcoholism or diet. Shoshin beriberi is a fulminant form of cardiac beriberi. We investigated the histopathological features of biopsied myocardial tissue samples from two patients with Shoshin beriberi (one patient with nonalcoholic beriberi and another patient with alcoholic beriberi). Interstitial fibrosis and a variation in size of the myocardial fibers were the main findings in the sample from these patients after thiamine treatment. These findings are persistent histopathological features in the myocardium of patients with Shoshin beriberi after thiamine treatment.- - - - - - - - - - ranking = 0.4keywords = alcoholic (Clic here for more details about this article) |
5/19. Importance of abstention from alcohol in alcoholic heart disease.A case of alcohol-associated heart disease, presenting with congestive heart failure, was followed for 36 months. After abstinence from alcohol, fractional shortening rose from 13 to 60%. After 1 1/2 years of abstinence and normal physical capacity, the alcoholic abuse was resumed. Eleven months later, the patient was again in overt heart failure. Withdrawal of alcohol was again associated with significant clinical improvement, but despite being in functional NYHA class I, fractional shortening only increased from 14 to 29%. Endomyocardial morphology was unrelated to the severity of the disease. Alcoholic heart disease is partially reversible, but total abstinence is necessary to preserve cardiac function.- - - - - - - - - - ranking = 1keywords = alcoholic (Clic here for more details about this article) |
6/19. Sudden death in an alcoholic with intramyocardial small vessel disease.A case of sudden death in an alcoholic with intramyocardial small vessel disease is reported. The histological findings and their medicolegal significance are discussed. In particular, emphasis is placed on the importance of histological examination of the intramyocardial small vessels in alcoholic subjects dying suddenly and in whom no obvious satisfactory cause of death is found at necropsy.- - - - - - - - - - ranking = 1.2keywords = alcoholic (Clic here for more details about this article) |
7/19. Alcoholic cardiomyopathy.The natural course of alcoholic cardiomyopathy is one of progressive left ventricular dysfunction and early demise. The author reports a case of normalization of severe left ventricular dysfunction over a prolonged period in a patient with alcoholic cardiomyopathy who abstained from alcohol.- - - - - - - - - - ranking = 0.4keywords = alcoholic (Clic here for more details about this article) |
8/19. Improvement of left ventricular function in alcoholic cardiomyopathy documented by serial gated cardiac pool scanning.Serial gated cardiac blood pool scans showed a gradual return to normal left ventricular function over ten months in a 44-year-old patient who presented initially with severe alcoholic congestive cardiomyopathy. The clinical signs of left ventricular failure abated considerably before myocardial function improved objectively on gated blood pool scanning.- - - - - - - - - - ranking = 1keywords = alcoholic (Clic here for more details about this article) |
9/19. Regression of severe alcoholic cardiomyopathy after abstinence of 10 weeks.Alcoholic cardiomyopathy usually has a poor prognosis, but the case presented here documents a dramatic regression of left ventricular dysfunction in a patient with alcoholic cardiomyopathy. Ejection fraction determined by echocardiography increased from 12% at the time of presentation to 45% 10 weeks later. This was associated with clinical resolution of congestive heart failure and a decrease in cardiac and left ventricular size documented by chest x-ray and echocardiography.- - - - - - - - - - ranking = 1keywords = alcoholic (Clic here for more details about this article) |
10/19. Normalization of variables of left ventricular function in patients with alcoholic cardiomyopathy after cessation of excessive alcohol intake: an echocardiographic study.An excessive alcohol intake has been reported as one of the possible causes or risk factors of 'alcoholic cardiomyopathy'. The possibility that this cardiomyopathy may improve or even reverse if the alcohol abuse has been terminated has been suggested, but unequivocal echocardiographic documentation of this improvement has never been described. This study reports the normalization of cardiac chamber dimensions and of variables of left ventricular function documented by M-mode and cross-sectional echocardiographic follow-up studies, after cessation of excessive consumption of alcohol, in three cases of alcoholic cardiomyopathy.- - - - - - - - - - ranking = 1.2keywords = alcoholic (Clic here for more details about this article) |
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