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This article has been peer reviewed. It is the authors' final version prior to publication in Journal of Cardiac Failure.

Volume 17, Issue 10, October 2011, Pages 844-849.

The published version is available at DOI: 10.1016/j.cardfail.2011.05.008. Copyright © Elsevier Inc.


Alcohol abuse can cause cardiomyopathy indistinguishable from other types of dilated nonischemic cardiomyopathy. Most heavy drinkers remain asymptomatic in the earlier stages of disease progression, and many never develop the familiar clinical manifestations that typify heart failure. We review the current thinking on the pathophysiology, clinical characteristics, and treatments available for alcoholic cardiomyopathy. The relationship of alcohol to heart disease is complicated by the fact that in moderation, alcohol has been shown to afford a certain degree of protection against cardiovascular disease.

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