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ARTICLE | October 1974

Heart Block in Alcoholic Cardiomyopathy

Carl V. Leier, MD; Stephen F. Schaal, MD; Richard F. Leighton, MD; Thomas F. Whayne, MD

Arch Intern Med. 1974;134(4):766-768. doi:10.1001/archinte.1974.00320220168026.

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It is not unusual for cardiomyopathies to present with conduction abnormalities. However, reports of the occurrence of complete heart block in alcoholic cardiomyopathy are infrequent. Brigden and Robinson¹ reported 50 cases of alcoholic cardiomyopathy; 19 had some form of conduction disease. Eight patients had left bundle-branch block (LBBB), four had right bundle-branch block (RBBB), and seven had a prolonged RP interval, and one patient showed complete heart block. Tobin et al² reviewed 30 cases of alcoholic cardiomyopathy. One patient had a prolonged PR interval, one had LBBB, and two patients were noted to have RBBB. Evans³ noted a bundle-branch block pattern in two of 20 patients having alcoholic cardiomyopathy. It appears that the development of complete heart block in alcoholic cardiomyopathy is unusual. We report, herein, a patient who developed cardiomyopathy secondary to excessive beer consumption that was then complicated by complete heart block. Bundle of His

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Leier CV, Schaal SF, Leighton RF, Whayne TF, Jr.. Heart Block in Alcoholic Cardiomyopathy. Arch Intern Med. 1974;134(4):766-768. doi:10.1001/archinte.1974.00320220168026.

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