Presentation
Syncopal event. Drinks one measure of spirits a day. Exercise tolerance of less than 20 meters.
Patient Data
Age: 45 years
Gender: Male
From the case:
Alcoholic cardiomyopathy
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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.