Cerebral T Waves, an Indicator for Non-Ischaemic Alcoholic Cardiomyopathy

Kunal M. Ajmera
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Abstract

Abstarct Alcohol has been a well-known cardiotoxin for a long time now. Alcohol use (a leading cause of preventable death) causes >95,000 death/year or 261 deaths/day in the US with an average of 29 life-year lost, according to the Center for Disease Control and Prevention (CDC). Alcohol dependency is seen in at least 25% of hospitalized patients. EKG changes associated with alcoholic-dilated cardiomyopathy are many and often non-specific. It is easy not to evaluate otherwise young and asymptomatic alcoholics coming with alcohol withdrawal symptoms for cardiomyopathy. This report documents ECG findings of cerebral T waves, in a young, otherwise healthy alcoholic patient coming in for the treatment of alcohol withdrawal seizures, who later got diagnosed with alcoholic-dilated cardiomyopathy. It is of paramount importance to pay close attention to EKG changes in young alcoholic patients as delay in diagnosis of alcoholic-dilated cardiomyopathy is lethal and can often cause irreversible myocyte damage.
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脑T波:非缺血性酒精性心肌病的一项指标
摘要酒精是一种众所周知的心脏毒素。根据美国疾病控制与预防中心(CDC)的数据,在美国,酒精使用(可预防死亡的主要原因)导致每年95,000人死亡,即每天261人死亡,平均损失29个生命年。至少25%的住院患者存在酒精依赖。与酒精扩张型心肌病相关的心电图变化很多,而且往往是非特异性的。很容易不去评价年轻和无症状的酒精戒断症状的心肌病。本报告记录了一位年轻健康的酗酒患者因酒精戒断发作而入院治疗,后来被诊断为酒精扩张性心肌病的脑电图结果。密切关注年轻酒精患者的心电图变化是至关重要的,因为延迟诊断酒精扩张型心肌病是致命的,通常会导致不可逆的心肌细胞损伤。
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