Analysis of 15 Patients with Alcoholic cardiomyopathy Misdiagnosed as Having Dilated Cardiomyopathy
XIE Peng
DING Chao
NIE Wei-zhuo
Abstract：Objective To discuss clinical characteristics, misdiagnosed causes and preventative measures of alcoholic cardiomyopathy (ACM).Methods Clinical data of 15 patients with ACM, who were misdiagnosed as having dilated cardiomyopathy (DCM) , was retrospectively analyzed.Results In the 15 patients, course of disease was 2-5(3.24±1.32)years, and main manifestations were chronic cardiac insufficiency, grade Ⅱ-Ⅳ heart function and left ventricular augmentation by ultrasonography.The 15 patients were misdiagnosed as having DCM repeatedly for many times in other hospitals, and the misdiagnosed time was (3.86±3.20) years.After admission in our hospital, heavy drinking history was found by asking history carefully, and then the ACM was confirmed on the basis of case history and results of medical examinations.With follow-up for 3 months, 12 patients recovered well;3 patients'' conditions developed because of still heavy drinking.Conclusion ACM is a reversible cardiomyopathy, and its manifestations are similar to those of DCM, and therefore it is easily misdiagnosed.Clinicians should differentiate ACM for patients suspected as having DCM, and give alcohol withdrawal forcibly in order to improve prognosis.
Keywords：CardiomyopathyalcoholicDiagnostic errorsdilated
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 34-35 )