Alcohol Induced Cardiomyopathy in Non-Alcoholic Society: A Case Report of Determining the Etiology of Dilated Cardiomyopathy

Alcoholic cardiomyopathy (ACM) is a condition caused by excessive alcohol consumption, which causes a reduction in cardiac function and disturbance in heart pumping ability. Clinical manifestation ranges widely, from asymptomatic to acute fulminant heart failure, depending on the degree of deterioration of heart function. This is a case report of a 37-year-old man who presented to the emergency room, he was referred with the diagnosis of alcoholic cardiomyopathy. From echocardiography, we found reduced left ventricular function with ejection fraction Teich 41,8%, and left ventricular segmental analysis show global hypokinetic with eccentric left ventricular hypertrophy (LVH) which leads to diagnosis cardiomyopathy. Diagnosis of ACM is by exclusion. There is a two-step diagnosis process beginning with cardiac imaging and the second step involves laboratory tests To determining about the etiology of cardiomyophaty, we should depend on patient’s history. The diagnosis of alcoholic cardiomyopathy is based on structured history related to alcohol abuse in the long period. Obtaining information about history of alcohol abuse is challange in a non-alcoholic culture and environment. It dipending on the ability of the physicians to explore in-depth information concerning personal problem. Good anamnesis and another supporting examination can help the physicians to making differential diagnosis and makes the right treatment plan for the patient.