Abstract
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 Robinson 1 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 al 2 reviewed 30 cases of alcoholic cardiomyopathy. One patient had a prolonged PR interval, one had LBBB, and two patients were noted to have RBBB. Evans 3 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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