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[Withdrawal syndrome complicated with heart left ventricle dysfunction in young woman addicted to alcohol]
Tomasz Gawlikowski1, Witold Biedroń, Alicja Hubalewska-Dydejczyk
1Oddział (Kliniczny) Toksykologii i Chorób Srodowiskowych WSS im. L. Rydygiera w Krakowie. togawlik@mp.pl
Abstract:
A case of 23-years old woman, addicted to alcohol and affected by depression, with functional heart disturbances is described. The heart left ventricle dysfunction developed after alcohol withdrawal. In ECG leads (V2-V6, I, II, aVL) symmetrical, negative T waves were present. Echocardio graphy revealed decreased left ventricle ejection fraction (LVEF=35%) and local abnormal contractility. The cardiomyocytes necrosis markers (CK-MB, troponin I) were negative. After several days the improvement of the heart function was observed (LEVF= 56%, improving of myocardium regional contractility). The rest scintigraphy of the heart (99mTc-MIBI GSPECT) was performed and its results corresponded with echocardiography revelations. The ECG changes improved during three weeks hospitalization, but were not normal on discharge.
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