Chronic alcoholic myopathy: diagnostic clues and relationship with other ethanol-related diseases E. SACANELLA, E. SACANELLA Alcohol Unit and Muscle Research Groups, Department of Internal Medicine, Hospital Clfnic i Provincial, University of Barcelona. Barcelona, Spain Chronic myopathy can also result in occasional bouts of acute myopathy, with muscle pain and weakness and darkened urine occurring after the person binges on alcohol. Long-Term Risks of Alcoholic Myopathy. As mentioned above, part of the risk of alcoholic myopathy is the development of cardiomyopathy, or weakness in the heart Chronic alcoholic myopathy is characterized by selective atrophy of Type II fibres and the entire muscle mass may be reduced by up to 30%. This myopathy is arguably the most prevalent skeletal muscle disorder in the Western Hemisphere and occurs in approximately 50% of alcohol misusers . It can also increase your risk of cancer, pancreatitis, and liver and heart diseases. What is Alcoholic Myopathy? Alcoholic myopathy increases muscle weakness, decreases muscle strength, and makes changes to the muscle structure
Acute alcoholic myopathy is present in 0.5 to 2.0 percent of alcoholics, with an estimated overall prevalence of 20 cases per 100,000 people in the Western Hemisphere 3). Chronic alcoholic myopathy is one of the most common types of myopathy, with an overall prevalence of 2,000 cases per 100,000 people . There is a broad range of underlying causes including drugs, alcohol, thyroid disease, osteomalacia, idiopathic inflammatory myopathies (IIM), hereditary myopathies, malignancy, infections and sarcoidosis. Clinical assessment should aim to distinguish proximal myopathy from other conditions that can.
Alcoholic cardiomyopathy is a disease of the heart muscles that occurs from excessively drinking alcohol over a long period. Cardiomyopathy weakens the heart, making it more difficult for it to pump blood. Heart muscles can become hard and swollen, and this can lead to irregular heart rates and eventually heart failure, which can be fatal Serum and Muscle Levels of alpha-Tocopherol, Ascorbic Acid, and Retinol Are Normal in Chronic Alcoholic Myopathy. Alcoholism: Clinical and Experimental Research, 1998. E. Sacanella. Download PDF. Download Full PDF Package. This paper. A short summary of this paper
Chronic alcohol intoxication is accompanied by metabolic abnormalities. Evolution during the early withdrawal period has been poorly investigated. The aim of this study was to determine the evolution of metabolic parameters during alcohol withdrawal. Patients and Methods . Thirty-three patients admitted in our department for alcohol withdrawal were prospectively included.<i> Results</i> Unhealthy alcohol use ranges from mild to severe, including alcoholism and binge drinking, putting health and safety at risk. While there are no specific tests to diagnose alcohol use disorder, certain patterns of lab test abnormalities may strongly suggest it. Charness ME. Overview of the chronic neurologic complications of alcohol.
Alcoholic cardiomyopathy is a form of dilated cardiomyopathy that occurs due to excessive and long-term alcohol consumption. AHA reports that dilated cardiomyopathy (DCM) is the most common form of cardiomyopathy and involves the heart's atria, ventricles, and chambers. Chronic alcohol abuse can cause alcoholic cardiomyopathy, or DCM,. . Outline the management of a suspected myopathy. Introduction. Myopathy is derived from the Greek words myo for muscle, and pathy for suffering which means muscle disease. The most common signs and symptoms of myopathies include weakness, stiffness, cramps, and spasms Chronic myopathic myopathy, characterized by progressive weakness in proximal muscles [8,9,10], occurs in 33% to 67% of alcoholics [6,7,10].Afflicted individuals develop fatigue with difficulty climbing stairs, walking, and rising from squatted and seated positions .The patterns of weakness can be alcohol dose-dependent, and abate or resolve with abstinence  Diagnosing cardiomyopathy. The diagnosis of cardiomyopathy is often clear from an individual's descriptions of his or her symptoms, the results of a physical examination, and the results of a chest x-ray, echocardiogram, and electrocardiogram. Occasionally, a test called an endomyocardial biopsy is necessary A newly acquired neuromuscular cause of weakness has been found in 25-85% of critically ill patients. Three distinct entities have been identified: (1) critical illness polyneuropathy (CIP); (2) acute myopathy of intensive care (itself with three subtypes); and (3) a syndrome with features of both 1 and 2 (called critical illness myopathy and/or neuropathy or CRIMYNE). CIP is primarily a.
Alcoholic cardiomyopathy is a form of heart disease that occurs due to long-term alcohol abuse, weaken and thin the heart muscles. How to diagnose alcoholic cardiomyopathy. chronic alcohol. Diagnosis. The clinical history is essential in identifying the presence of a myopathy and narrowing down the differential diagnosis. In particular, the patient should be questioned about medication and recreational drug history (especially alcohol), chemical exposures, exercise intolerance, childhood development, and family history of muscle disease or developmental motor delay Diagnosis. As with peripheral neuropathies and MG, the diagnosis of myopathies requires a neurologic history and examination. Laboratory tests are used to measure enzymes of the muscles and look for associated systemic disorders. While the EDX examination can play a diagnostic role, the 'gold standard' for most myopathies requires a muscle. Central core myopathy: This is a hereditary myopathy, also called central core disease, that causes weakness, bone problems, and severe reactions to some medications.The severity of this disease varies, causing profound weakness among some people and only mild weakness in others. Muscular dystrophy: This is a group of diseases caused by degeneration of the muscles or abnormally formed.
Myopathy from acute causes, such as dehydration, resolves quickly, whereas those resulting from inherited causes typically last indefinitely. Myopathy symptoms may be mild such as a temporary cramp or very serious, including wasting and paralysis. Treatment options for myopathy include splinting, bracing, medications, physical therapy, and surgery Alcoholic myopathy; Alcoholism, chronic, continuous; Alcoholism, chronic, episodic; Cerebral degeneration due to alcoholism; Continuous chronic alcoholism; Episodic chronic alcoholism; Postpartum alcohol dependence; Thrombocytopenia due to alcoholism; ICD-10-CM F10.20 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0) • Dilated cardiomyopathy (ICD-9-CM code 425.4) is the most common type in which the left ventricle becomes enlarged and can no longer pump blood throughout the body. This type generally occurs in middle-aged people. When the cardiomyopathy is associated with alcoholism, assign code 425.5 for alcoholic cardiomyopathy 1.2. Acute and Chronic Alcohol-Related Myopathy. Myopathy is an under-appreciated consequence of chronic alcohol abuse. Acute alcoholic myopathy, which occurs in up to 5% of chronic heavy drinkers, is characterized by rhabdomyolysis  with extensive myofiber necrosis, phagocytosis, loss of A-band structure (thick filament zone), and myofiber regeneration [5,6,7]
The short answer to what causes alcoholic cardiomyopathy is heavy and typically chronic alcohol abuse. That is, it is a condition that develops over a long period of frequent and heavy drinking. Cardiomyopathy itself is a heart disease that can have several potential causes and risk factors that don't involve alcohol, but may be related to. In medicine, myopathy is a disease of the muscle in which the muscle fibers do not function properly. This results in muscular weakness. Myopathy means muscle disease (Greek : myo- muscle + patheia -pathy : suffering).This meaning implies that the primary defect is within the muscle, as opposed to the nerves (neuropathies or neurogenic disorders) or elsewhere (e.g., the brain) Myopathy is separated into three different types based on toxicity: Myalgia refers to generalized pain in the muscles. A small increase of the creatine kinase enzyme, which is associated with.
Chronic myopathic myopathy, characterized by progressive weakness in proximal muscles [8 - 10], occurs in 33% to 67% of alcoholics [6,7,10]. Afflicted individuals develop fatigue with difficult Jones KW (2005) A Murine Model of alcoholic cardiomyopathy: A role for zinc and metallothionein in fibrosis. Am J Pathol 167: 301-304. Piano MR (2002) Alcoholic cardiomyopathy incidence, clinical characteristics, and pathophysiology. Chest 121: 1638-1650 It has been referred to by a number of different terms in the literature, including acute myopathy, 4 acute quadriplegic myopathy, 5 critical care myopathy, 6 acute necrotizing myopathy, 7 and acute myopathy with selective loss of myosin filaments. 8 Muscle biopsy is usually necessary to firmly establish the diagnosis
Statin myopathy, as seen in this patient, is usually self-limited and is not associated with autoimmunity or with anti-HMGCR autoantibody positivity. The mechanism is unknown, but statin myopathy has an incidence of 1.2 per 10,000 patient-years. Myalgias, myositis, rhabdomyolysis, and asymptomatic hyperCKemia are commonly seen Progressive ataxia in adults can be difficult to diagnose, owing to its heterogeneity and the rarity of individual causes. Many patients remain undiagnosed ('idiopathic' ataxia). This paper provides suggested diagnostic pathways for the general neurologist, based on Ataxia UK's guidelines for professionals. MR brain scanning can provide diagnostic clues, as well as identify 'structural.
Most of the congenital myopathies are chronic and slowly progressive. However, metabolic, inflammatory, toxic and endocrine myopathies present subacutely or even acutely and this requires awareness amongst front-line physicians to recognise and diagnose myopathy. Aetiology. There are many causes of myopathy, both inherited and acquired Chronic health conditions that have been linked to excessive alcohol use include: High Blood Pressure, Heart Disease, and Stroke Binge drinking and heavy drinking can cause heart disease, including cardiomyopathy (disease of the heart muscle), as well as irregular heartbeat, high blood pressure, and stroke Peripheral neuropathies are among the most common neurological diseases with an incidence of 77/100,000 inhabitants per year and a prevalence of 1-12% in all age groups and up to 30% in older people [1,2,3].In the USA, it is estimated that patients with idiopathic neuropathies outnumber patients with Alzheimer's disease up to threefold .The diagnosis of peripheral neuropathy necessitates. the diagnosis.3 From this patient, chronic, long-standing alcohol ingestion from his young age without any other predisposing factors is one of the most reliable clues leads to a diagnosis of alcoholic cardiomyopathy.6 Mild reduction in cardiac functions occurs in chronic alcoholics before symptoms appear. O
The incidence of chronic DCM in alcoholics is relatively low, at about 12% , After 4 months of daily heavy drinking, an S3 and elevated venous pressure can develop, signs which can revert to normal on stopping the alcohol if this was the sole cause of the failure [16,32,33], However, many of those with the usual diagnosis of alcoholic. Congestive Heart Failure/Cardiomyopathy Documentation and Coding Reference Note: It is neither the intention of this reference guide nor the purpose to replace the ICD-10-CM Official Guidelines for coding and reporting. Adherence to these guidelines when assigning ICD-10-CM diagnosis and procedure codes is required under the Health Insurance Portabilit Dilated cardiomyopathy is a condition in which the heart muscle becomes weakened and enlarged. As a result, the heart cannot pump enough blood to the rest of the body. There are many types of cardiomyopathy. Dilated cardiomyopathy is the most common form, but it may be the result of different underlying conditions
Internationally recognized expertise from specialists who write national care guidelines, publish leading research, and see a high volume of patients each year.; Advanced diagnostic tools and expertise to recognize the often subtle clues that establish a diagnosis of hypertrophic cardiomyopathy and distinguish it from other similar conditions, including athlete's heart Dilated cardiomyopathy may be inherited and is secondary to hypertension, chronic alcoholism, and drug use. The other types of cardiomyopathy are not supported by the client's history. When caring for a client newly diagnosed with cardiomyopathy, which type of treatment should the nurse anticipate will be initiated
Dilated cardiomyopathy (also called idiopathic dilated cardiomyopathy) is a condition in which the heart becomes weak and the chambers get large. As a result, the heart cannot pump enough blood out to the body. It can be caused by many medical problems. Hypertrophic cardiomyopathy (HCM) is a condition in which the heart muscle becomes thick Chronic alcoholism is one of the most important causes of DCM in the Western and developing world. 88 In the United States, in both sexes and in all races, long-term heavy alcohol consumption has been noted as one of the leading causes of nonischemic DCM. 88 The clinical diagnosis of alcoholic cardiomyopathy can be made when biventricular. For example, alcoholic women develop cirrhosis (5), alcohol-induced damage of the heart muscle (i.e., cardiomyopathy) (6), and nerve damage (i.e., peripheral neuropathy) (7) after fewer years of heavy drinking than do alcoholic men Alcohol intolerance is extremely common, if not universal, in patients with CFS/ME. Indeed during the 1980s, I chatted away with Professor Fields at Warwick University, who was diagnosing ME at.
A dilated cardiomyopathy which is associated with consumption of large amounts of alcohol over a period of years. Disease of cardiac muscle resulting from chronic excessive alcohol consumption. Myocardial damage can be caused by: (1) a toxic effect of alcohol; (2) malnutrition in alcoholics such as thiamine deficiency; or (3) toxic effect of. Liver Disease. Unlike many alcohol-related health problems, such as alcohol poisoning, impaired judgement or blacking out, a person doesn't have to drink a lot in one sitting to develop liver diseases.Alcoholic liver diseases can occur after chronic, moderate drinking, according to the U.S. National Library of Medicine Clues to localization and diagnosis Myopathy NMJ disorders Inflammatory neuropathy (GBS/CIDP) MND (SMA) Distal Neuropathy Distal myopathy Asymmetric ALS Myotonic Chronic ‒Static vs. Episodic •PMH ‒Thyroid, parathyroid, adrenal, GH, cancer, HIV, DM, Kidney diseas An elderly Caucasian man presented with a 10-month history of proximal myopathy and dysphagia. His serum creatine kinase (CK) was elevated at 877 U/L (normal 40-320) and electromyography confirmed a myopathic process. Blood and urine tests suggested myeloma; bone marrow examination showed 30% plasma cells and stained positive for amyloid. The muscle biopsy was initially reported as normal. 3 Neuromuscular Complications of Critical Illness Case: 51 year old male with COPD + respiratory failure zh/o alcohol abuse and depression zBecame critically ill zPlaced on IV methylprednisolone for 27 days zThen to prednisone zDeveloped weakness that included facial muscles zAbsent tendon reflexes, CSF normal Scully RE, et.al., Case Records of th
How common is statin induced myopathy? In one large, population based cohort study of patients from general practices in the United Kingdom between 1991 and 1997, the mean incidence of myopathy (defined in this trial as muscle weakness and raised concentrations of creatine kinase) in patients taking statins was 1.2 per 10 000 person years (95% confidence interval 0.3 to 4.7).5 In another large. Chronic inflammatory demyelinating polyneuropathy (CIDP) is a neurological disorder that causes progressive weakness and impaired sensory function in the legs and arms. Symptoms often include tingling or numbness (first in the toes and fingers), weakness of the arms and legs, loss of deep tendon reflexes, fatigue, and abnormal sensations. Other symptoms may include pain, difficulty swallowing. Differential Diagnosis : Chronic immune Axonal Demyelinating Vascular Treatment Muscle innervation Endocrine Gastrointestinal Δ Gynecomastia Hepatic disease Infections Itch Large Nerves Motor activity, Spontaneous: Myopathy Occupations Paraneoplastic Pregnancy Respiratory Renal failure Skeletal Skin Sports Tendon reflexes Toxic Tumor Abstract Experimental alcoholic myopathy was induced in rats by a combination of prolonged alcohol intake (mean 15.3 g ethanol/kg/day for up to 10 weeks) and a short fast. In view of literature evidence for impairment of both glycolytic and oxidative metabolism in alcoholic myopathy, we combined histological and histochemical observations with biochemical studies comprising assay of all. Restrictive cardiomyopathy is diagnosed based on medical history, physical exam, and diagnostic tests. Diagnostic work-up may include electrocardiogram, chest X-ray, echocardiogram, exercise stress test, cardiac catheterization, CT scan, MRI and radionuclide studies. A myocardial biopsy occasionally is done to determine the cause of cardiomyopathy
Chronic alcoholic myopathy: diagnostic clues and relationship with other ethanol‐related diseases Sacanella, Sacanella; Fernandez‐Sola, Fernandez‐Sola; Cofan, Cofan Ethanol‐induced chronic myopathy in the young rat: a light and electron microscopic study in type I or type II fibre‐rich skeletal muscle Alcoholic cardiomyopathy. Excessive ethanol use is associated with heart failure (alcoholic cardiomyopathy). 79) Careful questioning for a history of alcohol use is an important part of the evaluation. Because of greater frequency of alcoholism in men, it is most common in young males Dilated cardiomyopathy can be caused by chronic, heavy alcohol use and nutritional deficiencies tied to alcoholism. It sometimes occurs as a complication of pregnancy and childbirth. Other possible causes include: alcohol abuse, infections, and illicit drugs. Rarely, it is inherited Many patients with alcoholic cardiomyopathy are fully functional in their daily lives without apparent stigmata of alcoholism. The cardiac impairment in severe alcoholic cardiomyopathy is the sum of both permanent damage and a substantial component that is reversible after cessation of alcohol consumption. Atrial fibrillation occurs commonly.
2012 ICD-9-CM Diagnosis Code 425.5 Alcoholic cardiomyopathy ICD-9-CM 425.5 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 425.5 should only be used for claims with a date of service on or before September 30, 2015 This is the most frequent form of non-ischemic cardiomyopathy. The various causes of dilated cardiomyopathy may include any ischemic heart disease with decreased blood flow to the heart, viral infections, chronic exposure to alcohol and chemotherapy drugs, and dietary deficiencies The diagnostic value of biomarkers (AshTest) for the prediction of alcoholic steato-hepatitis in patients with chronic alcoholic liver disease. J Hepatol . 2006 Jun. 44:1175-85. [Medline]
The alcohol kills the cells on contact, causing a small controlled heart attack. The septum then shrinks back to a more normal size over the following months, widening the passage for blood flow If these diagnostic modalities are not available, clues to the presence of an atrial myopathy can often be provided by 2 components of the commonly used CHA 2 DS 2 ‐VASc risk score—diabetes mellitus and heart failure. Diabetes mellitus represents a metabolic disorder that is accompanied by epicardial adiposity and adverse LA remodeling Average onset of hyperthyroid myopathy is in the 40s. The disease can usually be alleviated by restoring normal thyroxine levels through medication or surgery. See Medical Management. Hypothyroid myopathy What is hypothyroid myopathy? Hypothyroid myopathy is a muscle disease caused by deficient hormone production from the thyroid gland chronic alcoholism: a pathologic condition, affecting chiefly the nervous and gastroenteric systems, associated with impairment in social and occupational functioning, caused by the habitual use of alcoholic beverages in toxic amounts x Duchenne muscular dystrophy (DMD) is a fatal and commonly inherited muscle disorder, with an estimated frequency of 1:5000 men . The disease is caused by mutations in the DMD gene which typically disrupt the reading frame, leading to the absence of functional dystrophin . Symptoms of the disease include progressive weakness, cardiomyopathy, and respiratory failure, which can lead to.
Idiopathic myopathies include polymyositis, dermatomyositis, non-specific myositis, and necrotizing myopathy. 1 These are very rare conditions and may be missed if one is unfamiliar with the. . Myositis is often difficult to diagnose, because many physicians are unfamiliar with the disease and its symptoms. A typical diagnosis process for myositis patients begins with a medical history and physical examination. It may also include blood tests, muscle and skin biopsies, and a variety of other diagnostic tests McMurray JJ et al (2012) ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European Journal of Heart Failure; 14: 8, 803-869. Maisch B (2016) Alcoholic cardiomyopathy: the result of dosage and individual predisposition. Hertz; 41: 6, 484-493
. It affects the heart's ventricles and atria, the lower and upper chambers of the heart, respectively alcoholic polyneuropathy: a nutritional axon loss polyneuropathy associated with chronic alcoholism Cardiomyopathy can occur in children regardless of age, race, and gender. Pediatric cardiomyopathy can be inherited or acquired through a viral infection and sometimes the cause is unknown. It is a frequent cause of sudden cardiac arrest in the young, according to the National Heart, Lung and Blood Institute Heart failure and cardiomyopathy. Cardiomyopathy can cause heart failure. This doesn't always happen, but can be caused by any type of cardiomyopathy. Often, treatment for cardiomyopathy involves reducing the likelihood of heart failure developing, or controlling and reversing symptoms. What are the symptoms of heart failure Alcohol abuse and dependence, now both included under the diagnosis of an alcohol use disorder, is a disease characterized by the sufferer having a pattern of drinking excessively despite the negative effects of alcohol on the individual's work, medical, legal, educational, and/or social life. It may involve a destructive pattern of alcohol use that includes a number of symptoms, including.
Stress cardiomyopathy: Stress cardiomyopathy, also known as broken heart syndrome, is a form of acute heart failure associated with severe stress. Miscellaneous conditions: Several other conditions can cause dilated cardiomyopathy, including sarcoidosis, end-stage kidney disease, and obstructive sleep apnea An orderly list of ICD-10 codes related to alcohol disease. A side by side comparison of ICD-9 and ICD-10 codes. Coronavirus (COVID-19) : Get the latest information about how Practice Fusion is supporting providers and patients during the outbrea
NYU Langone heart specialists are familiar with all types of cardiomyopathy, which means sickness of the heart muscle. This condition changes the shape and function of the heart. It reduces the heart's ability to pump blood and can cause heart arrhythmias, in which the heart beats too slowly or quickly Description. Cardiomyopathy is a dysfunction of cardiac muscle that can be associated with coronary artery disease, hypertension, cardiotoxic agents, valvular disorders, and vascular or pulmonary diseases. Cardiomyopathies are classified into three groups by etiology and the abnormal physiology of the left ventricle. Dilated or congestive cardiomyopathy (DC) - is characterized by ventricular. Overall, myocarditis which can cause dilated cardiomyopathy, are thought to account for up to 45 percent of heart transplants in the U.S. today. Healthy lifestyle changes can also support proper heart function. Your doctor may recommend that you reduce sodium in your diet, avoid alcohol, limit fluid intake and quit smoking Chronic inflammatory demyelinating polyneuropathy (CIDP) is a neurological disorder characterized by progressive weakness and impaired sensory function in the legs and arms. The disorder, which is sometimes called chronic relapsing polyneuropathy, is caused by damage to the myelin sheath (the fatty covering that wraps around and protects nerve.
Although the exact prevalence is unknown, approximately 7.4% of adult Americans were estimated to meet the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for the diagnosis of alcohol abuse and/or alcohol dependence in 1994 ; more recent data suggest 4.65% meet the criteria for alcohol abuse and 3.81% for alcohol. Ventriculography was conducted, which showed normal systolic function of the basal segments of the left ventricle and the presence of an LV apical aneurysm (Fiure 2B, Video 3).The patient was discharged with dual antiplatelet therapy and optimal heart failure medical treatment, including an angiotensin-converting-enzyme inhibitor, a β-blocker, an aldosterone antagonist and a statin Cirrhosis is a long-term (chronic) liver disease. The most common causes are hepatitis and other viruses, and alcohol abuse. Other medical problems can also cause it. The damage to the liver usually can't be reversed. The goal of treatment is to slow down the buildup of scar tissue and prevent or treat any problems that happen
Pacemaker-induced cardiomyopathy. I'm a 79-year-old male who was in fairly good shape, athletic and a dedicated runner until a hip replacement 15 years ago, after which I became a regular walker and worked out with weights 3 days per week Chronic intestinal pseudo-obstruction (CIP) is a rare, potentially disabling gastrointestinal disorder characterized by abnormalities affecting the involuntary, coordinated muscular contractions (a process called peristalsis) of the gastrointestinal (GI) tract. (visceral myopathy) or abnormalities of nerves within the GI tract (visceral.
Valid for Submission. I42.9 is a billable diagnosis code used to specify a medical diagnosis of cardiomyopathy, unspecified. The code I42.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions Cardiomyopathy may be congenital (present at birth) or acquired (meaning it develops during the person's lifetime). A person is more likely to develop cardiomyopathy if they have one or more of the following risk factors: High blood pressure (hypertension) A condition that previously threatened the heart, such as coronary heart disease or. Laing distal myopathy is inherited as an autosomal dominant trait. Udd distal myopathy is caused by mutations of the titin (TTN) located on the long arm of chromosome 2 (2q24.3). The TTN gene encodes the muscle protein, titin, found in both skeletal and heart (cardiac) muscles. Udd distal myopathy is inherited as an autosomal dominant trait Cardiomyopathy is a serious medical condition that centers on a weakened heart muscle. A group of disorders may result in cardiomyopathy by directly affecting the heart muscle's structure.
Palpitations of the heart may also be present. In restrictive cardiomyopathy, people may have difficulty breathing when exercising and at night and fatigue. The condition can result in heart arrhythmias and angina. Diagnosis: Diagnosis can be made by an MRI, chest X-ray, ECG, and echocardiography Heavy alcohol use is a prerequisite for the development of alcoholic hepatitis. The history is usually apparent; however, in some patients, alcohol use may be covert. Clues to the presence of alcoholism include a history of multiple motor vehicle accidents, convictions for driving while intoxicated, and poor interpersonal relationships