Mølgaard H, Kristensen B O, Baandrup U
University Department of Cardiology, Skejby Sygehus, Arhus, Denmark.
Int J Cardiol. 1990 Mar;26(3):373-5. doi: 10.1016/0167-5273(90)90098-p.
A case of alcohol-associated heart disease, presenting with congestive heart failure, was followed for 36 months. After abstinence from alcohol, fractional shortening rose from 13 to 60%. After 1 1/2 years of abstinence and normal physical capacity, the alcoholic abuse was resumed. Eleven months later, the patient was again in overt heart failure. Withdrawal of alcohol was again associated with significant clinical improvement, but despite being in functional NYHA class I, fractional shortening only increased from 14 to 29%. Endomyocardial morphology was unrelated to the severity of the disease. Alcoholic heart disease is partially reversible, but total abstinence is necessary to preserve cardiac function.
一名患有酒精相关性心脏病并伴有充血性心力衰竭的患者被随访了36个月。戒酒之后，左室缩短分数从13%升至60%。在戒酒1年半且体能正常后，患者再次酗酒。11个月后，患者再次出现明显的心衰。再次戒酒又带来了显著的临床改善，但尽管患者处于纽约心脏协会（NYHA）心功能I级，左室缩短分数仅从14%增至29%。心内膜形态与疾病严重程度无关。酒精性心脏病部分可逆，但必须完全戒酒以维持心脏功能。
