I42.6

Clinical Causes: Chronic heavy alcohol consumption over several years Genetic predisposition that affects how alcohol impacts the heart Nutritional deficiencies often associated with heavy drinking, such as thiamine deficiency Concurrent liver disease or other alcohol-related health issues

Key Symptoms: Fatigue and weakness Shortness of breath, especially during exertion or when lying down Swelling in the legs, ankles, feet, or abdomen Irregular or rapid heartbeat Persistent cough or wheezing Dizziness or lightheadedness Reduced ability to exercise or perform physical activities Palpitations or a feeling of pounding heart

Diagnosis Path: Echocardiogram to visualize heart structure and function Electrocardiogram (ECG) to detect abnormal heart rhythms Chest X-ray to check heart size and lung congestion Blood tests to evaluate heart enzymes, liver function, and nutritional status Magnetic Resonance Imaging (MRI) if further detail is needed Assessment of alcohol intake and related health factors

Treatment Protocols: Cessation of alcohol consumption to prevent further damage Medications such as ACE inhibitors, beta-blockers, or diuretics to manage heart failure symptoms Nutritional support and addressing deficiencies Lifestyle modifications including low-sodium diet and regular, moderate exercise (as advised by a healthcare provider) Management of other health conditions that may worsen heart function, like high blood pressure Psychosocial support and counseling to maintain sobriety