Journal of Cardiovascular Disease Research
Evaluation of the left ventricular function in chronic asymptomatic alcoholics
Dr. Macherla Bikshapathy
JCDR. 2024: 1676-1680
Abstract
To evaluate preclinical left ventricular dysfunction with Doppler and two-dimensional echocardiography in long-term asymptomatic alcohol consumer. To establish a correlation between potential variations and the amount of alcohol consumed. Methods: A observational study was carried out at Department of General Medicine, Aditya Hospital, Jangaon, Telangana India from January 2023 to December 2023 after informed consent signed from 60 subject to assess the ventricular function in chronic asymptomatic alcoholism. Results: Alcoholics had a considerably greater mean end diastolic volume index (p<0.001) than controls. The mean ejection fraction did not differ statistically significantly between the two groups. Alcoholics had a statistically substantially higher estimated mean left ventricular mass index (p<0.001). Alcoholics had considerably longer isovolumic relaxation times and early transmitral flow velocity deceleration times than controls (p<0.001). Conclusion: The consumers displayed characteristics of maintained ejection fraction along with reduced left ventricular relaxation. Increased left ventricular mass, posterior wall thickness, and increased left ventricular chamber volume in diastole were the abnormalities seen in alcoholics by 2-D and M-mode echocardiography. Prolonged isovolumic relaxation and deceleration times, higher peak late transmitral flow velocities, and decreased E/A ratios were the anomalies in the Doppler parameters.
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