43 year old active 6'-3", 237 lb male with regular yearly physicals. Totally asymptomatic (no lightheadedness or passing out). Regularly plays tennis, jogs 3 miles, or stairsteps for 40 minutes on an every other day basis.
1. Dilated Cardiomyopathy with left ventrical ejection fraction of 35-40% (evidently within the last two years since last EKG was normal).
2. Bradycardia with sleeping rate as low as the high-20s to mid-30s. Normal heart active heart rate of mid-50s to low-60s.
3. Left Bundle Branch Block, resting and throughout full treadmill stress test.
4. Coronary Catheterization reveals no coronary artery disease and no apparent scar tissue. Heart biopsy not taken.
1. 5mg Lisinopril and 325mg enteric coated aspirin daily.
2. Return for another echocardiogram in 1 month to determine if the condition is improving, stable, or deteriorating.
Patient is described by his peers as a heavy social drinker, daily drinker of large amounts of strong coffee, with a documented history of low potassium levels. What, if any, is the link between dilated cardiomyopathy and alcohol, caffeine, or potassium? Is abstinance from alcohol and caffeine and/or daily potassium supplements likely to show improvement at the 1-month retesting point? If so, how much (likely vs. potential)? If not, what about over the longer term?
You would definitely want to stop alcohol consumption altogether. There is no question that alcohol can lead to cardiomyopathy. Sometimes, though not always, the damage is reversible with abstinence. On the other hand, continued drinking almost always leads to deterioration of heart function. I would recommend cuttin back on the caffeine also, though this is not linked to cardiomyopathy. A low potassium can be seen in certain conditions that predispose to high blood pressure (which can lead to cardiomyopathy) - if this is the case, the condition needs to be treated specifically, not just with potassium supplementation.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.