Treatment of Alcohol-induced Cardiomyopathy in Dilated Cardiomyopathy After Survived Cardiac Arrest or Ventricular Arrhythmia with Haemodynamic Instability
This protocol applies to patients with alcohol-induced cardiomyopathy who have underlying dilated cardiomyopathy and have either survived a cardiac arrest or recovered from a ventricular arrhythmia that caused haemodynamic instability — a presentation that carries a distinctly elevated risk of sudden cardiac death.
Clinical Scenario
Dilated cardiomyopathy in the setting of a survived cardiac arrest or a ventricular arrhythmia with haemodynamic instability. These events mark patients who are at high ongoing risk and for whom a specific device-based intervention is indicated to reduce that risk.
Approach
An implantable cardioverter-defibrillator (ICD) is a key component of management in this clinical scenario. The full structured protocol — including the complete evidence-based indications and clinical implementation guidance — is available through the link below.
Detailed decision criteria and evidence grading are part of the full regimen.
References
DOI: 10.1093/eurheartj/ehad194
An ICD is recommended to reduce the risk of sudden death and all-cause mortality in patients with DCM who have survived a cardiac arrest or have recovered from a ventricular arrhythmia causing haemodynamic instability.
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