Patient Condition
Alcoholic cardiomyopathy HFrEF, LVEF 30%, NYHA class III, long-term history of heavy drinking (liquor>100g per day). Cardiac function still did not recover significantly 3 months after complete alcohol withdrawal.
Treatment Timeline
| Phase | Details | Date |
|---|
| Assessment of etiology of heart failure | | |
| GDMT Drug Optimization | | |
| cardiac rehabilitation | | |
| long-term follow-up | | |
Treatment Outcome
| before | LVEF 30%, NYHA class III, NT-proBNP 4800 pg/mL, 6-minute walk distance 260m |
|---|
| after | LVEF 50%, NYHA class I, NT-proBNP 850 pg/mL, 6-minute walk distance 480m |
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| highlight | Combined treatment with ARNI+ SGLT2i after alcohol withdrawal increased LVEF by 20%, nearly complete recovery |
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