title: [Alcohol, acid, vitamins and heart].
abstract: We report on a 67-year-old male patient with chronic alcoholism, who presented with acute dyspnea, a strongly reduced left ventricular cardiac function and a severe lactic acidosis. In face of a low thiamine serum level and a rapid improvement after parenteral thiamine administration we were able to diagnose a Shoshin-Beriberi syndrome with cardiogenic shock and reversible dilated cardiomyopathy. The epidemiology, pathophysiology, clinics and treatment of the rare cardiac manifestation of this vitamine deficiency are discussed.
authors.affiliation: Interdisziplinäre Intensivstation, Stadtspital Waid Zürich.
authors.forename: D
authors.initials: D
authors.lastname: Reinhardt
authors.forename: C
authors.initials: C
authors.lastname: Giambarba
authors.forename: S
authors.initials: S
authors.lastname: Raimondi
mesh_terms: D000140:Acidosis, Lactic / Q000175:diagnosis*; D000368:Aged; D019973:Alcohol-Related Disorders / Q000175:diagnosis*; D001281:Atrial Fibrillation / Q000175:diagnosis; D001602:Beriberi / Q000175:diagnosis*; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis*; D035583:Rare Diseases; D012770:Shock, Cardiogenic / Q000175:diagnosis