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[Dynamics of blood viscosity indices in patients with alcoholic myocardiodystrophy]
Insights
This study shows that blood viscosity in alcoholic cardiomyopathy worsens with chronic alcoholism severity. Treatment effectiveness correlates with initial patient status, with Stage III patients showing persistent high blood viscosity.
Area of Science:
- Cardiology
- Toxicology
- Hematology
Background:
- Alcoholic cardiomyopathy is a significant complication of chronic alcoholism.
- Understanding the impact of alcoholism on blood rheology is crucial for patient management.
Purpose of the Study:
- To assess rheological blood parameters in patients with alcoholic cardiomyopathy across different stages of chronic alcoholism.
- To evaluate the correlation between disease severity, treatment efficacy, and blood rheology.
- To determine the long-term impact of alcoholism on blood viscosity.
Main Methods:
- Examination of 120 patients with alcoholic cardiomyopathy (Stages I-III) and 25 healthy controls.
- Measurement of rheological blood parameters: fluidity limit, apparent viscosity, red blood cell aggregation ratio, and hematocrit.
- Longitudinal assessment of parameters before treatment, post-treatment, and one month after discharge.
Main Results:
- Blood viscosity significantly increased with the severity of chronic alcoholism.
- Treatment outcomes correlated with the initial condition of patients.
- Patients with Stage I and II alcoholism showed normalization of parameters, while Stage III patients maintained elevated blood viscosity post-treatment.
Conclusions:
- Rheological blood parameter monitoring can aid in assessing alcoholic cardiomyopathy severity.
- Blood rheology assessment provides an additional method for evaluating treatment efficacy in alcohol-induced cardiovascular abnormalities.
Abstract:
According to I. V. Strel'chuk's classification, 120 patients with alcoholic myocardiodystrophy induced by stage I-III chronic alcoholism were examined. The control group included 25 normal men. The rheological blood parameters (fluidity limit, apparent viscosity, red blood cell aggregation ratio, and hematocrit) were examined over time: before treatment, after its discontinuance, and one month after discharge from hospital. It was shown that blood viscosity increased with the disease gravity, whereas the results of the treatment correlated well with the initial patient's status. In stages I and II chronic alcoholism, the study parameters could return to normal, while in stage III, blood viscosity remained significantly higher than normal both towards the end of the treatment at hospital and on control examination one month after discharge. The control over blood rheology performed over time may be recommended as an additional method for assessing the disease gravity and efficacy of the treatment of alcohol-induced abnormalities.
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