Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics

Objective: Alcohol is most commonly abused drug worldwide. It has been shown to produce toxic effects in almost every organ system in the body. Many of these medical conditions can be attributed to direct effects of alcohol whereas others are indirect sequelae that may result from nutritional defic...

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Main Authors: H.D. Attar, A. Aboobaker, Md. Saleem, H.B. Irfan, S.D. Aman
Format: Article
Language:English
Published: Al Ameen Medical College 2017-01-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:http://ajms.alameenmedical.org/ArticlePDFs/4%20AJMS%20V10.N1.2017%20p%2010-15.pdf
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author H.D. Attar
A. Aboobaker
Md. Saleem
H.B. Irfan
S.D. Aman
author_facet H.D. Attar
A. Aboobaker
Md. Saleem
H.B. Irfan
S.D. Aman
author_sort H.D. Attar
collection DOAJ
description Objective: Alcohol is most commonly abused drug worldwide. It has been shown to produce toxic effects in almost every organ system in the body. Many of these medical conditions can be attributed to direct effects of alcohol whereas others are indirect sequelae that may result from nutritional deficiencies or predisposition to trauma. Alcohol consumption has been associated with a variety of cardio vascular disorders this study was thus undertaken to know the Electrocardiographic and Echocardiographic abnormalities in asymptomatic chronic alcoholic patients. Materials and Methods: 50 Patients attending the out-patient clinic & who were admitted in Al Ameen Medical College Hospital and District hospital, Bijapur were selected for the study. It was a prospective study design subjects in age group 20-40, having history of chronic alcoholism as defined, for more than 5 years were evaluated by electrocardiography and echocardiography. Patients with known diabetics, hypertensive and cardiovascular disorders were excluded from the study group. Results: The prevalence of cardiovascular abnormalities in patients of chronic alcoholism is 37% in our study. Most common ECG changes are sinus tachycardia (18%), and Non specific ST-T changes (9%). Most common 2D ECHO changes was increased posterior wall thickness (11%) and followed by increased interventricular septum thickness and decreased ejection fraction (<40%). The prevalence of cardio vascular abnormalities are more with increased duration of alcohol consumption and also high in advanced age group. Conclusions: This study confirms that many electrocardiographic as well as echocardiographic changes occur prior to symptomatic cardiac disorders established to be caused by chronic alcohol intake such as alcoholic cardiomyopathy .which probably are early indictors of ongoing effects of alcohol and are reversible during the early stages detected by non invasive investigations like Electrocardiography and Echocardiography that later proceeds to alcoholic dilated cardiomyopathy.
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spelling doaj.art-01fd492989b34e999e697b26c38667952022-12-22T01:13:48ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11430974-11432017-01-0110011015Electrocardiographic and Echocardiographic Abnormalities in Chronic AlcoholicsH.D. Attar0A. Aboobaker1Md. Saleem2H.B. Irfan3S.D. Aman4Department of Medicine, Al Ameen Medical College and Hospital, Athani Road, Vijayapur-586108 Karnataka, IndiaDepartment of Medicine, Al Ameen Medical College and Hospital, Athani Road, Vijayapur-586108 Karnataka, IndiaDepartment of Medicine, Al Ameen Medical College and Hospital, Athani Road, Vijayapur-586108 Karnataka, IndiaDepartment of Medicine, Al Ameen Medical College and Hospital, Athani Road, Vijayapur-586108 Karnataka, IndiaDepartment of Medicine, Al Ameen Medical College and Hospital, Athani Road, Vijayapur-586108 Karnataka, IndiaObjective: Alcohol is most commonly abused drug worldwide. It has been shown to produce toxic effects in almost every organ system in the body. Many of these medical conditions can be attributed to direct effects of alcohol whereas others are indirect sequelae that may result from nutritional deficiencies or predisposition to trauma. Alcohol consumption has been associated with a variety of cardio vascular disorders this study was thus undertaken to know the Electrocardiographic and Echocardiographic abnormalities in asymptomatic chronic alcoholic patients. Materials and Methods: 50 Patients attending the out-patient clinic & who were admitted in Al Ameen Medical College Hospital and District hospital, Bijapur were selected for the study. It was a prospective study design subjects in age group 20-40, having history of chronic alcoholism as defined, for more than 5 years were evaluated by electrocardiography and echocardiography. Patients with known diabetics, hypertensive and cardiovascular disorders were excluded from the study group. Results: The prevalence of cardiovascular abnormalities in patients of chronic alcoholism is 37% in our study. Most common ECG changes are sinus tachycardia (18%), and Non specific ST-T changes (9%). Most common 2D ECHO changes was increased posterior wall thickness (11%) and followed by increased interventricular septum thickness and decreased ejection fraction (<40%). The prevalence of cardio vascular abnormalities are more with increased duration of alcohol consumption and also high in advanced age group. Conclusions: This study confirms that many electrocardiographic as well as echocardiographic changes occur prior to symptomatic cardiac disorders established to be caused by chronic alcohol intake such as alcoholic cardiomyopathy .which probably are early indictors of ongoing effects of alcohol and are reversible during the early stages detected by non invasive investigations like Electrocardiography and Echocardiography that later proceeds to alcoholic dilated cardiomyopathy.http://ajms.alameenmedical.org/ArticlePDFs/4%20AJMS%20V10.N1.2017%20p%2010-15.pdfChronic AlcoholicsAlcoholic CardiomyopathyElectrocardiographyEchocardiography
spellingShingle H.D. Attar
A. Aboobaker
Md. Saleem
H.B. Irfan
S.D. Aman
Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics
Al Ameen Journal of Medical Sciences
Chronic Alcoholics
Alcoholic Cardiomyopathy
Electrocardiography
Echocardiography
title Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics
title_full Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics
title_fullStr Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics
title_full_unstemmed Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics
title_short Electrocardiographic and Echocardiographic Abnormalities in Chronic Alcoholics
title_sort electrocardiographic and echocardiographic abnormalities in chronic alcoholics
topic Chronic Alcoholics
Alcoholic Cardiomyopathy
Electrocardiography
Echocardiography
url http://ajms.alameenmedical.org/ArticlePDFs/4%20AJMS%20V10.N1.2017%20p%2010-15.pdf
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AT mdsaleem electrocardiographicandechocardiographicabnormalitiesinchronicalcoholics
AT hbirfan electrocardiographicandechocardiographicabnormalitiesinchronicalcoholics
AT sdaman electrocardiographicandechocardiographicabnormalitiesinchronicalcoholics