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What is A man who is chronic alcoholic will develop which type of cardiomyopathy and explain in detail?
Cardiomyopathy is disease of the hea muscle. Causes for Dilated Cardiomyopathy:- * Alcohol is the most common toxin implicated in chronic DCM. * Excess consumption may contribute to more than 10% of cases of hea failure, including exacerbation of cases with other primary etiologies such as valvular disease or previous infarction. * Toxicity is attributed both to alcohol and to its primary metabolite, acetaldehyde. * Polymorphisms of the genes encoding alcohol dehydrogenase and the angiotensin conveing enzyme may influence the likelihood of alcoholic cardiomyopathy in an individual with excess consumption. * Superimposed vitamin deficiencies and toxic alcohol additives are rarely implicated currently. * Atrial fibrillation occurs commonly both early in the disease ("holiday hea syndrome") and in advanced stages. * Medical therapy includes neurohormonal antagonists and diuretics as needed for fluid management. Ref:- Harrison's Principles of Internal Medicine 20th edition; Pg num:- 1779