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.

Description