Alcoholic cardiomyopathy
Presentation
45 year old man presented to ED following syncopal event. Drinks one of spirits a day. Exercise tolerance of less than 20m.
Patient Data
Age: 45
Gender: Male
From the case:
Alcoholic cardiomyopathy
X-ray
Frontal
The heart is grossly enlarged. Lungs are clear
Cardiac silhouette is grossly enlarged. Blunted costodiaphragmatic recesses.
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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