1/7. 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 = left ventricular dysfunction, ventricular dysfunction, dysfunction (Clic here for more details about this article) |
2/7. 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 = 0.20006160738004keywords = left ventricular dysfunction, ventricular dysfunction, dysfunction (Clic here for more details about this article) |
3/7. 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 = left ventricular dysfunction, ventricular dysfunction, dysfunction (Clic here for more details about this article) |
4/7. 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 = 0.2keywords = left ventricular dysfunction, ventricular dysfunction, dysfunction (Clic here for more details about this article) |
5/7. Reversibility of alcoholic cardiomyopathy with abstention from alcohol.A 46-year-old chronic alcoholic patient with typical and severe congestive cardiomyopathy was studied hemodynamically on two separate occasions. The second study followed after a 1 1/2-year period of virtually complete abstention from alcohol and revealed that the left ventricular dysfunction had disappeared. Depsite persisting atrial fibrillation, the response to moderate exercise and to plasma volume expansion was within the normal range. When last seen, 29 months after initial hospitalization, the patient was symptom-free and was not given any treatment.- - - - - - - - - - ranking = 0.2keywords = left ventricular dysfunction, ventricular dysfunction, dysfunction (Clic here for more details about this article) |
6/7. Reversal of alcoholic cardiomyopathy in a patient with severe coronary artery disease.Alcohol is a known cause of cardiomyopathy. Although the mechanism is not clearly understood, abstinence prior to the onset of fibrosis has been associated with improvement in left ventricular function. As shown in this report, the presence of severe coronary artery disease should not exclude other causes of left ventricular dysfunction, especially alcoholic cardiomyopathy.- - - - - - - - - - ranking = 0.2keywords = left ventricular dysfunction, ventricular dysfunction, dysfunction (Clic here for more details about this article) |
7/7. Reversal of dilated to hypertrophic cardiomyopathy after alcohol abstinence.Left ventricular dilation and systolic dysfunction develop in 14-16% of patients with hypertrophic cardiomyopathy. Such findings may easily be misdiagnosed as dilated cardiomyopathy. It is unknown whether left ventricular dilatation and systolic dysfunction in patients with hypertrophic cardiomyopathy are reversible. A 35-year-old man had been a heavy drinker for 13 years and was abstinent for 1 year. Five years previously he suffered cardiac arrest and, based on echocardiographic, radionuclide, and cardiac catheterization findings, the diagnosis of alcohol-induced dilated cardiomyopathy was established. At presentation the heart was of normal size, with concentric left ventricular hypertrophy and only slightly reduced systolic function. Hypertrophic cardiomyopathy was diagnosed since no other cause for left ventricular hypertrophy could be detected. In hypertrophic cardiomyopathy, alcohol may induce reversible systolic dysfunction and left ventricular dilatation.- - - - - - - - - - ranking = 0.00018482214011258keywords = dysfunction (Clic here for more details about this article) |