cardiomyopathies 3/20

Question 1

1. what is Alcoholic Cardiomyopathy

2. Characterized by:

Answer 1

1. A type of dilated cardiomyopathy Also referred to as “alcoholic heart muscle disease”
2. a dilated LV, an increased LV mass, LV dysfunction Changes in the LV are present in the absence of CAD and nutritional
   deficiencies.

Question 2

1. are there any other precipitating factors?

2. how much etoh causes it?

Answer 2

1. Develops independent of htn, valvular heart disease, or CAD
2. Exact amount of etoh and duration of consumption that causes Alcohol cardiomyopathy is unknown

Question 3

1. what is the Pathophysiology of alcoholic dilated cardiomyopathy?
2. Anesthetic considerations:

Answer 3

1. -Impaired LV relaxation and diastolic dysfunction →high filling
   pressures and CHF
   -*but, LV systolic function and EF is normal o
   2.“careful anesthetize this patient