To study the effect of alcohol on cardiac function in alcohol abuse patients

Abstract

To investigate how alcohol affects cardiac function in Indian hospital patients with alcoholism. Assess 2D ECHO results and ECG in patients with alcohol abuse. Methods: Between September 2021 and September 2022, cardiology department of Kurnool Medical College, Kurnool, Andhra Pradesh, India, conducted the current cross-sectional study on cardiac function in alcohol abuse. A total of fifty alcohol abuse patients who met the inclusion and exclusion criteria were chosen. Results: Ejection fraction or LVD is inversely correlated with the total lifetime alcohol intake. The majority of the patients under study had cardiomegaly visible on their chest X-rays, along with other radiological findings like pulmonary congestion and pleural effusion. ECG findings were normal in 18% of patients, atrial fibrillation was seen in 20% of patients, LVH was seen in 12% of patients, sinus tachycardia was seen in 12% of patients, LBBB was seen in 10% of patients, RBBB was seen in 12% of patients, SVT was seen in 10% of patients, and ectopic beats were seen in 6% of patients. The maximum number of patients with DT (150-200) was found in 42% of those who underwent echocardiography, and 64% of patients had prolonged EPSS (>12). Maximum patient numbers for LVSD (40%) and LVDD (52%), respectively, were found in the range of 6–6.9 cm and >7 cm, respectively. ESV between 50 and 74 ml is seen in 36% of patients, while EDV between 100 and 174 ml is seen in 64% of patients. Severe LVD was seen in only 16 percent of patients, moderate LVD in 24 percent, and mild LVD in 60 percent of patients. Conclusion: Alcohol abuse leads to dilated cardiomyopathy, arrhythmias, heart failure, sudden deaths. Alcoholic dilated cardiomyopathy also risk factor for sudden death. Alcohol abstinence results in better prognosis.