[Withdrawal syndrome complicated with heart left ventricle dysfunction in young woman addicted to alcohol].
A case of 23-years old woman, addicted to alcohol and affected by depression, with functional heart disturbances is described. The heart left ventricle dysfunction developed after alcohol withdrawal. In ECG leads (V2-V6, I, II, aVL) symmetrical, negative T waves were present. Echocardio graphy revealed decreased left ventricle ejection fraction (LVEF=35%) and local abnormal contractility. The cardiomyocytes necrosis markers (CK-MB, troponin I) were negative. After several days the improvement of the heart function was observed (LEVF= 56%, improving of myocardium regional contractility). The rest scintigraphy of the heart (99mTc-MIBI GSPECT) was performed and its results corresponded with echocardiography revelations. The ECG changes improved during three weeks hospitalization, but were not normal on discharge.
Gawlikowski
Tomasz
T
Oddział (Kliniczny) Toksykologii i Chorób Srodowiskowych WSS im. L. Rydygiera w Krakowie. togawlik@mp.pl
Biedroń
Witold
W
Hubalewska-Dydejczyk
Alicja
A
Pach
Dorota
D
D000328:Adult; D000437:Alcoholism / Q000150:complications*; D001714:Bipolar Disorder / Q000150:complications; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D013375:Substance Withdrawal Syndrome / Q000209:etiology*; D017256:Technetium Tc 99m Sestamibi; D015899:Tomography, Emission-Computed, Single-Photon; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy
D017256:Technetium Tc 99m Sestamibi