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MORPHOLOGICAL CHARACTERISTICS AND FUNCTION OF LEFT VENTRICLE IN PATIENTS WITH CHRONIC ALCOHOLISM
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Abstract
Objectives: To describe morphological characteristics and function of the left ventricle using echocardiography in patients with chronic alcoholism. Subjects and methods: A prospective and cross-sectional descriptive study on 60 chronically alcoholic patients inpatient at the Psychiatric Department, Military Hospital 103 from March to November 2022, and 56 healthy men. All conduct Doppler echocardiography and assess left ventricular morphology and function. Results: Morphological parameters were significantly greater in alcoholics than in controls: Interventricular septal diastolic and systolic (IVSd, IVSs) increased compared to the control group (8.97 ± 1.59 mm and 12.46 ± 1.78 mm compared with 7.42 ± 0.75 mm and 10,28 ± 0,92 mm), with p < 0.05. The left ventricular posterior wall diastolic and systolic (LVPWd, LVWPs) increased compared with the control group (8.78 ± 1.31 mm and 12.41 ± 1.45 mm compared with 7.89 ± 0.67 mm and 10.98 ± 0.72 mm, with p < 0.05). Left ventricular mass (LV mass) and left ventricular mass index (LVMI) in the patient group (138.72 ± 32.03 g and 81.22 ± 18.59 g/m²) increased compared to the control group (108.18 ± 18.91 g and 67.04 ± 13.40 g/m²), with p < 0.05. The end-systolic dimension and volume of left ventricular systolic (LVEDs, ESV) were 29.97 ± 4.14 mm and 34.38 ± 13.24 mL, larger than the control group, which were 27.92 ± 2.44 mm and 29,21 ± 5,17 mL respectively, with p < 0.05. The moderately abnormal systolic function accounted for 1.67%, the mild level accounted for 13.33%. Conclusion: There are morphological changes and left ventricular dysfunction in patients with chronic alcoholism.
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Keywords
Alcohol use disorder, Doppler echocardiography, Left ventricle.
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