Alcoholic cardiomyopathy: Treatments, outlook, and more
It’s very important to stick with the treatment plan and to stop drinking alcohol during recovery. In some cases, especially those alcoholic cardiomyopathy is especially dangerous because that are more severe, heart failure symptoms and related conditions may develop or get worse. Your healthcare provider is the best person to explain the risks and possible complications that you might face from this condition itself, related health concerns or any of the treatments that you will receive.
Central Nervous System and Brain
The findings were analysed taking into account the amount and chronicity of intake and they were compared with the same parameters measured in a control group of non-drinkers. In addition, people who receive early treatment for ACM, including medication and lifestyle modifications, have a better chance of improving their heart function and overall health. The postulated mechanism includes mitochondria damage, oxidative stress injury, apoptosis, modification of actin and myosin structure, and alteration of calcium homeostasis. Studies have shown an increase in reactive oxygen species (ROS) level in myocytes following alcohol consumption and thus causes oxidation of lipids, proteins, and DNA leading to cardiac dysfunction. These changes are related to both direct alcohol toxicity on cardiac cells and the indirect toxicity of major alcohol metabolites such as acetaldehyde. Chronic alcohol consumption can cause multi-organ damage including myocardial dysfunction.
Imaging tests
People with alcoholic cardiomyopathy often have a history of heavy, long-term drinking, usually between five and 15 years. Heavy drinking is alcohol consumption that exceeds the recommended daily drug addiction treatment limits. Some of the adverse effects of heavy drinking can be reversed if you quit alcohol and adopt healthy lifestyle habits. Unfortunately, severe cases of alcoholic cardiomyopathy can lead to permanent damage and even death.
Medication-Assisted Treatment
- Because of this, their origin could be multifactorial and linked both to the alcohol molecule and to its main metabolite, acetaldehyde.
- At present ACM is considered a specific disease both by the European Society of Cardiology (ESC) and by the American Heart Association (AHA)18,19.
- It is both caused by excessive alcohol use and can be treated by cutting out alcohol use.
- People who struggle with issues like anxiety and depression and also drink alcohol may find that they begin to feel better in the days and weeks after they stop drinking.
- Some of the above tests may also use materials injected into your bloodstream that are highly visible on certain types of imaging scans.
Data suggests patients with successful quitting of alcohol have improved overall outcomes with a reduced number of inpatient admissions and improvement in diameter size on echocardiogram. Treatment for alcoholic cardiomyopathy is directed towards source control. However, even reducing your drinking to light or moderate levels is better than continuing to drink heavily. Your outlook may also improve depending on other treatments you receive, such as medication or surgery. The only way to completely prevent alcohol-induced cardiomyopathy is not to drink alcohol at all.
Guillo et al17 in 1997 described the evolution of 9 ACM patients who had been admitted. He divided this cohort into two groups according to https://ecosoberhouse.com/ the evolution of the ejection fraction during 36 mo in which no deaths were recorded. The 6 subjects who experienced a clear improvement in their ejection fraction had fully refrained from drinking. Conversely, the 3 subjects recording a less satisfactory evolution had persisted in their consumption of alcohol. It should be noted that a moderate drinker included in this latter group showed an improvement of his ejection fraction. Epidemiological studies analysing the relationship between excessive alcohol consumption and the development of DCM have found the existence of a reciprocal link between both disorders.
Signs You Might Have a Drinking Problem
- It is unknown whether individual susceptibility would be related to increased vulnerability at the myocardial level and/or to impaired alcohol metabolism.
- The result is uncontrolled inflammation in response to nothing but alcohol.
- It’s important to understand some of the more severe effects that alcohol can have on your mental health.
- However, if alcoholic cardiomyopathy is caught early and the damage isn’t severe, the condition can be treated.
If you have any questions about how to do either of these, your healthcare provider can answer them and offer you help and resources along the way. When the immune system detects something harmful (like bacteria or damaged cells), it triggers inflammation. Then, immune system cells flood the area to remove the pathogen and help repair the damage. This can cause muscles to atrophy, weakening and potentially wasting away. There’s also evidence that alcohol affects the gut’s ability to absorb and process certain nutrients. This makes managing joint disease more difficult and diet changes less effective.