Alcohol-Induced Cardiomyopathy: Causes, Symptoms and Treatment

Females constitute roughly 14 % of cases of alcohol induced cardiomyopathy however lifetime exposure required for women to develop alcohol induced cardiomyopathy is less compared to men. Incidence of alcoholic cardiomyopathy ranges from 1-2% of all heavy alcohol users. It is estimated, approximately 21-36% of all non-ischemic cardiomyopathies are attributed to alcohol. The prevalance of alcoholic cardiomyopathy in addiction units is estimated around %. Overall data with regards to alcohol induced cardiomyopathy is insuffienct and does not illustrate significant available data.

Your doctor will also ask you about your medical history and drinking habits. It’s important to be honest with your doctor about the extent of your alcohol use, including the number and amount of drinks you have each day. This will make it easier for them to make a diagnosis and develop a treatment plan.

Alcohol use disorders and the heart

For men, it’s five drinks in two hours, and for women, it’s four drinks in two hours. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines drinking levels as moderate and heavy. To learn about our personalized rehab programs for alcohol and substance use disorders at Ark Behavioral Health, contact a treatment specialist today. Some people find that alcohol reduces feelings of stress and helps them cope, but drinking is a way of avoiding issues rather than working through them. If you’re physically dependent on alcohol, you’ll likely experience withdrawal symptoms if you suddenly stop drinking.

To treat the alcohol problem, a combined approach comprising pharmacologic and psychosocial therapy involving self-help groups or Alcoholics Anonymous is essential. Biomarkers of heart failure such as NT-proBNP and of myocardial necrosis such as the troponins and CKMB indicate heart failure or myocytolysis. The source was identified to be the filter of choice for wine and beer, i.e., diatomaceous earth [36].

What is alcohol septal ablation?

This can cause heart inflammation, leading to an atypically fast heart rhythm, such as atrial fibrillation (AF). Your doctor might prescribe ACE inhibitors and beta-blockers to help lower your blood pressure. If your heart is severely damaged, your doctor may recommend an implantable defibrillator or pacemaker to help your heart work. The mainstay of management is providing support, resources including but not limited to alcoholic anonymous and encouragement for alcohol abstinence and address underlying stressors if any which requires assistance from nursing staff and pharmacy. These patients may also benefit from a dietary consult to assess nutrition. Certain microscopic features may suggest damage secondary to alcohol causing cardiomyopathy.

The American Society of Hypertension and the International Society of Hypertension recommend that men limit their alcohol consumption to no more than two drinks a day and women to no more than one drink a day 27. To put the importance of BP control into perspective at a population level, a 2‐mmHg increase in BP increases mortality from stroke by 10% and from coronary artery disease (CAD) by 7% 28. The most important part of your treatment is maintaining abstinence from alcohol. This is why treatment for alcoholic cardiomyopathy often begins with treatment for alcohol abuse. Since alcohol addiction is a chronic condition with no cure, you’ll need to continually manage it.

Is this condition only a chronic (long-term) problem?

Considering all the works conducted to date, it is clear that new studies on the natural history of ACM are needed, including patients treated with contemporary heart failure therapies. In light of the available data, new studies will help to clarify the current prognosis of ACM compared to DCM and to determine prognostic factors in ACM that might differ from known prognostic factors in DCM. Alcohol septal ablation is an effective treatment for hypertrophic cardiomyopathy. This non-surgical procedure involves less recovery time and fewer complications than surgical treatments for this heart condition. Talk to your provider about what you need to do to prepare for this procedure and what you can expect during recovery. If you have any signs of complications following the procedure, get medical help right away.

  • However, any further damage due to alcohol abuse is also negated if one stops drinking.
  • Abnormal heart sounds, murmurs, ECG abnormalities, and enlarged heart on chest x-ray may lead to the diagnosis.
  • Pharmacologic therapy should include goal-directed heart failure therapy as used in idiopathic dilated cardiomyopathy with reduced ejection fraction.
  • The findings were analysed taking into account the amount and chronicity of intake and they were compared with the same parameters measured in a control group of non-drinkers.

A case of rapid reversal of alcohol-induced cardiomyopathy with abstinence is reviewed. The present case highlights the acute toxic nature of alcohol and the potential for rapid functional recovery. While alcohol-induced cardiomyopathy comes from long-term alcohol abuse, there’s no universal limit or number that means you’ll develop it.

Long-Term Outlook for ACM

A 48-year-old woman presented to the emergency department with confusion and shortness of breath. She admitted to an eight-year history of the ingestion of more 11 Gift Ideas for the Sober Person in Your Life than 600 mL of vodka per day. Within the month before presentation, she had increased her alcohol intake by drinking a large glass of 70% ethanol per day.

Leave a Comment

Your email address will not be published. Required fields are marked *