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Alcoholic cardiomyopathy

Case contributed by David Preston

Presentation

Syncopal event. Drinks one measure of spirits a day. Exercise tolerance of less than 20 meters.

Patient Data

Age: 45 years
Gender: Male
x-ray

Cardiac silhouette is grossly enlarged. Blunted costodiaphragmatic recesses. Lungs clear.

Case Discussion

A transthoracic echocardiogram showed an ejection fraction of 4%. The patient has since expressed a desire to stop drinking.

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