Steroid Induced Dialated Cardiomyopathy

A 37-year-old male patient presents with complaints of progressively increased shortness of breath, pedal edema, puffiness of the face, distension of the abdomen, generalized swelling of the body, and oliguria for the last 15 days. There is no history of chest pain, palpitations, or cough. The patient gives a history of inhalational therapy prescribed at his local place and oral steroids (tab Betnesol) from a local medical store for the past 3 years for his attacks of breathlessness. The patient is a chronic smoker and alcoholic for the past 10 years.