Abstract
Alcohol use, abuse, and dependence have the potential to result in alcoholic cardiomyopathy (ACM). This distinct form of congestive heart failure (CHF) is responsible for 21–36% of all cases of nonischemic dilated cardiomyopathy in Western society. Without complete abstinence, the 4-year mortality for ACM approaches 50%. Therefore, accurate and detailed assessment of alcohol use in congestive heart failure is essential. The prevalence of problematic alcohol use is unrecognized by many clinicians. Clinical assessment of alcohol intake is often reduced to a simple question such as, “Do you drink?” Denial and minimization are hallmarks of alcohol abuse, with many individuals underreporting their use of alcohol. Clinicians can overcome these hurdles by implementing practical history taking measures to improve the accuracy of self-reported alcohol use. The data regarding the dangers of ongoing alcohol use in individuals with ACM make attempts to engage individuals in treatment to support abstinence essential. Suggestions for detailed and accurate assessment are discussed.
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References
Thompson W (2002) Alcoholism. Emedicine Journal 3
Murray Estess J (1998) Alcoholic Cardiomyopathy. http://www.med.virginia.edu/medicine/clinical/internal/conf/chiefs9899/alcohol.html
Henderson-Martin B (2000) No more surprises: screening patients for alcohol abuse. Am J Nurs 100(9):26–32
Spies CD, Sander M, Stangl K, Fernandez-Sola J, Preedy VR, Rubin E, Andreasson S, Hanna EZ, Kox WJ (2001) Effects of alcohol on the heart. Curr Opin Crit Care 7(5):337–343
Regan TJ (1990) Alcohol and the cardiovascular system. JAMA 264(3):377–381
Beckmemeier ME, Bora PS (1998) Fatty acid ethyl esters: potentially toxic products of myocardial ethanol metabolism. J Mol Cell Cardiol 30(11):2487–2494
Waldenstrom A (1998) Alcohol and congestive heart failure. Alcoholism 22:315S–317S
Pavan D, Nicolosi GL, Lestuzzi C, Burelli C, Zardo F, Zanuttini D (1987) Normalization of variables of left ventricular function in patients with alcoholic cardiomyopathy after cessation of excessive alcohol intake: an echocardiographic study. Eur Heart J 8(5):435–440
Figueredo VM (1997) The effects of alcohol on the heart: detrimental or beneficial? Postgrad Med 101(2):165–167, 171, 172, 175,176
Fabrizio L, Regan TJ (1994) Alcoholic cardiomyopathy. Cardiovasc Drugs Ther 8(1):89–94
Feunekes GI, van ‘t Veer P, van Staveren WA, Kok FJ (1999) Alcohol intake assessment: the sober facts. Am J Epidemiol 150(1):105–112
Saunders JB, Aasland OG, Bebor TF, De La Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II. Addiction 88:791–804
Fuller R, Lee K, Gordis E (1988) Validity of self-report in alcoholism research: results of a veterans administration cooperative study. Alcohol Clin Exp Res 12(2):201–205
Morral A, McCaffrey D, Iguchi M (2002) Hardcore drug users claim to be occasional users: drug use frequency underreporting. Drug Alcohol Depend 57(3):193–202
Bernadt MW, Mumford J, Taylor C, Smith B, Murray RM (1982) Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism. Lancet 6(8267):325–328
Acknowledgments
Matthew J. Steiner, MD, Nina A. Cooperman, Psy.D. for assistance with literature review and manuscript preparation. Funded by NHLBI contract # HC 25197.
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Skotzko, C.E., Vrinceanu, A., Krueger, L. et al. Alcohol use and congestive heart failure: incidence, importance, and approaches to improved history taking. Heart Fail Rev 14, 51–55 (2009). https://doi.org/10.1007/s10741-007-9048-8
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DOI: https://doi.org/10.1007/s10741-007-9048-8