Schwartz L, Sample K A, Wigle D E
Am J Cardiol. 1975 Dec;36(7):963-6. doi: 10.1016/0002-9149(75)90090-9.
In a chronic alcoholic with a severe congestive cardiomyopathy the angiographic and hemodynamic evidence of left ventricular dysfunction was completely reversed after 1 year of abstinence. At the time of initial presentation two of the traditional hallmarks of a poor prognosis were present, namely, a long exposure to alcohol before the onset of symptoms and severe diffuse left ventricular dilation and hypokinesis (ejection fraction 14.9 percent). Yet, today, 18 months later he is asymptomatic, receiving no medications and has normal left ventricular function. A reexamination of prognostic factors in alcoholic cardiomyopathy may be indicated.
在一名患有严重充血性心肌病的慢性酒精中毒患者中，经过1年戒酒，左心室功能障碍的血管造影和血流动力学证据完全逆转。初次就诊时，存在两个预后不良的传统标志，即症状出现前长期饮酒以及严重的弥漫性左心室扩张和运动减弱（射血分数为14.9%）。然而，18个月后的今天，他没有症状，未服用任何药物，左心室功能正常。可能需要重新审视酒精性心肌病的预后因素。
