Alcoholic Cardiomyopathy

Alcoholic cardiomyopathy is a dilated cardiomyopathy due to chronic excessive alcohol consumption, presenting with heart failure, arrhythmias, and reduced EF. Treatment: complete alcohol abstinence; guideline-directed medical therapy for HFrEF (ACEi/ARB/ARNI, beta-blocker, MRA, SGLT2 inhibitor); diuretics; treat arrhythmias; nutritional support (thiamine); transplant/LVAD if end-stage despite abstinence.

Common Symptoms

Heart failure; reduced EF/dilated LV; history of heavy alcohol; arrhythmia

Causes and Pathogenesis

Chronic alcohol toxicity causes myocardial dysfunction and dilated cardiomyopathy.

Treatment

Complete abstinence; GDMT for HFrEF; diuretics; thiamine; transplant/LVAD if end-stage

Preventive Measures

Avoid excessive alcohol; early abstinence improves prognosis.

Department to Visit

It is recommended to visit the Cardiology/Heart-failure department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.