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Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder

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[Alcohol, acid, vitamins and heart].

D Reinhardt¹, C Giambarba, S Raimondi

¹Interdisziplinäre Intensivstation, Stadtspital Waid Zürich.

|June 10, 2011

Summary

This summary is machine-generated.

Shoshin-Beriberi syndrome, a rare cardiac complication of thiamine deficiency, can cause cardiogenic shock and dilated cardiomyopathy in alcoholic patients. Prompt thiamine treatment can reverse these severe cardiac effects.

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Published on: November 15, 2024

Area of Science:

Cardiology
Internal Medicine
Nutritional Science

Background:

Chronic alcoholism is a significant risk factor for nutritional deficiencies.
Thiamine (vitamin B1) deficiency can lead to severe systemic complications.
Cardiac manifestations of thiamine deficiency are rare but critical.

Observation:

A 67-year-old male with chronic alcoholism presented with acute dyspnea.
The patient exhibited severely reduced left ventricular function and lactic acidosis.
Low serum thiamine levels were detected.

Findings:

Diagnosis of Shoshin-Beriberi syndrome was established.
The condition presented with cardiogenic shock and reversible dilated cardiomyopathy.
Parenteral thiamine administration led to rapid clinical improvement.

Implications:

Highlights the importance of considering thiamine deficiency in alcoholic patients with cardiac dysfunction.
Demonstrates the potential for reversible cardiomyopathy with timely thiamine repletion.
Underscores the need for awareness regarding rare cardiac complications of vitamin deficiencies.