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Cardiac Failure and Infarction ECG Pattern in a Chronic Alcoholic

Cardiac Failure and Infarction ECG Pattern in a Chronic Alcoholic Abstract A 42-year-old man with a history of prolonged heavy ethyl alcohol consumption was admitted with congestive heart failure. On auscultation a gallop rhythm was heard, but no murmurs were audible. The ECG showed a pattern indicative of left atrial enlargement and old anterior wall infarction (QS pattern in V3, V4, and V5). The chest roentgenogram disclosed generalized cardiomegaly. The echocardiogram is shown in Fig 1. What is your diagnosis? Fig 1.—Echocardiogram showing left ventricle at mitral valve level (right) and midventricular level (left); RVAW indicates right ventricular anterior wall; ECG, electrocardiogram; VS, ventricular septum; MV, mitral valve; LVPW, left ventricular posterior wall; TH, mural thrombus. Arrows indicate paradoxical (posterior) systolic motion of left ventricular posterior wall. Diagnosis. —Myocardial Fibrosis With Mural Thrombus in a Patient With Congestive Cardiomyopathy.The left ventricle is dilated (end-diastolic dimension, 60 mm) and shows diminished systolic excursions of the left ventricular posterior wall, as References 1. Levisman JA, MacAlpin RN, Abbasi AS, et al: Echocardiographic diagnosis of a mobile, pedunculated tumor in the left ventricular cavity. Am J Cardiol 36:957-959, 1975.Crossref 2. Horgan JH, Shiel FO, Goodman AC: Demonstration of left ventricular thrombus by conventional echocardiography. J Clin Ultrasound 4:287, 1976.Crossref 3. DeJoseph RL, Shiroff RA, Levenson LW, et al: Echocardiographic diagnosis of intraventricular clot. Chest 71:417-419, 1977.Crossref 4. Kramer NE, Rathod R, Chawla KK, et al: Echocardiographic diagnosis of left ventricular mural thrombi occurring in cardiomyopathy. Am Heart J 96:381-383, 1978.Crossref 5. Van der Bos AA, Vletter WB, Hagemeijer F: Progressive development of a left ventricular thrombus. Chest 74:307-309, 1978.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Cardiac Failure and Infarction ECG Pattern in a Chronic Alcoholic

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1980.00330150105024
Publisher site
See Article on Publisher Site

Abstract

Abstract A 42-year-old man with a history of prolonged heavy ethyl alcohol consumption was admitted with congestive heart failure. On auscultation a gallop rhythm was heard, but no murmurs were audible. The ECG showed a pattern indicative of left atrial enlargement and old anterior wall infarction (QS pattern in V3, V4, and V5). The chest roentgenogram disclosed generalized cardiomegaly. The echocardiogram is shown in Fig 1. What is your diagnosis? Fig 1.—Echocardiogram showing left ventricle at mitral valve level (right) and midventricular level (left); RVAW indicates right ventricular anterior wall; ECG, electrocardiogram; VS, ventricular septum; MV, mitral valve; LVPW, left ventricular posterior wall; TH, mural thrombus. Arrows indicate paradoxical (posterior) systolic motion of left ventricular posterior wall. Diagnosis. —Myocardial Fibrosis With Mural Thrombus in a Patient With Congestive Cardiomyopathy.The left ventricle is dilated (end-diastolic dimension, 60 mm) and shows diminished systolic excursions of the left ventricular posterior wall, as References 1. Levisman JA, MacAlpin RN, Abbasi AS, et al: Echocardiographic diagnosis of a mobile, pedunculated tumor in the left ventricular cavity. Am J Cardiol 36:957-959, 1975.Crossref 2. Horgan JH, Shiel FO, Goodman AC: Demonstration of left ventricular thrombus by conventional echocardiography. J Clin Ultrasound 4:287, 1976.Crossref 3. DeJoseph RL, Shiroff RA, Levenson LW, et al: Echocardiographic diagnosis of intraventricular clot. Chest 71:417-419, 1977.Crossref 4. Kramer NE, Rathod R, Chawla KK, et al: Echocardiographic diagnosis of left ventricular mural thrombi occurring in cardiomyopathy. Am Heart J 96:381-383, 1978.Crossref 5. Van der Bos AA, Vletter WB, Hagemeijer F: Progressive development of a left ventricular thrombus. Chest 74:307-309, 1978.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Mar 1, 1980

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