[Alcohol, acid, vitamins and heart].

Alkohol, Säure, Vitamine und Herz.

Publisher: Aerzteverlag medinfo AG Country of Publication: Switzerland NLM ID: 101468093 Publication Model: Print Cited Medium: Print ISSN: 1661-8157 (Print) Linking ISSN: 16618157 NLM ISO Abbreviation: Praxis (Bern 1994) Subsets: MEDLINE

Publication: 2023- : Erlenbach : Aerzteverlag medinfo AG
Original Publication: Bern : Hallwag

Rare Diseases*; Acidosis, Lactic/*diagnosis ; Alcohol-Related Disorders/*diagnosis ; Beriberi/*diagnosis ; Dyspnea/*etiology ; Malnutrition/*diagnosis; Aged ; Atrial Fibrillation/diagnosis ; Cardiomyopathy, Dilated/diagnosis ; Diagnosis, Differential ; Humans ; Male ; Shock, Cardiogenic/diagnosis

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.

Comment in: Praxis (Bern 1994). 2011 Jun 8;100(12):685-6. (PMID: 21739764)

Date Created: 20110610 Date Completed: 20110803 Latest Revision: 20110609

20221213

10.1024/1661-8157/a000567

21656502