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- My neighbor is a positive attitude to physical education, has been working with dumbbells, a few runs. But on holidays, as they say, “affords”. Is this combined, matched?

We have already noted that when jogging main load falls on the cardiovascular system, and if these classes are constructed rationally, then it is (relatively other systems) are most often damaged. At the same time abuse of alcohol (even a single) the likelihood of damage to the circulatory apparatus erected in a square. Unfortunately, athletes are relatively few are aware of this. Sometimes the doctors do not give due attention to the adverse effects of alcohol on the cardiovascular system, which often leads to incorrect diagnosis (particularly for people over age 40), when the prosecution get the factors also lead to damage to the heart, but not the leading, and alcohol is “not caught the perpetrator.”

Let’s try to conduct an objective “investigation.” Wear a white robe and walk into my office – we’ll be together to welcome.

Example:
Our patient – 32-year-old mechanic.
- What do you complain?
- I am healthy, doctor, that’s only on the electrocardiogram found something and do not allow for competition.
I read the conclusion of electrocardiographic examination: myocardial dystrophy. Where did it come from?
I asked:
- What are you sick?
- Has long been ill, doctor. If you feel that cold, – drink, I’ll go to the bath – and healthy!
- And often drink?
- How it all.
- A more accurate?
- On holidays, with pay, at the weekend …
- Last time when drinking?
- Yesterday, in hiking.
- And a lot?
- But not so much – half a liter of vodka on Saturday and, perhaps, the same on Sunday.
- What kind of competition you will?
- Running for three miles.
- Regularly train?
- N-no, but, in general, I’m ready, because a football game, a month took up running …
- By how much and how often to run?
- Kilometer by two-three, one – two times a week.
And drinking does not interfere? – I ask again and I see that my patient began to fidget in his chair, he looked annoyed at the conversation he obviously does not like.
- What is this an interrogation? – With irritation he says, raising his voice.
- No medical history.
- What?
- History, that is the story of your illness.
- What is disease? I’m healthy, sign the admission to the competitions and do not lose time in vain!

But I do not think to give him help. I understand that his self-confidence – the result of low self-esteem, and this is one of the manifestations of alcohol abuse. We must patiently and carefully explain that the illness he had, as she arose and properly treated.

There are three stages of alcoholism. For the first characterized by episodic alcohol consumption, for the second – a part or the systematic use of it (the so-called inebriety) and the third – the systematic use of alcohol (ie, alcoholism), accompanied by clinical lesions of many organs and systems. The patient – the second stage of alcoholism. The fall occurred unnoticed by him (which is characteristic of the first stages of the disease) and is associated with a reduction in self-criticism and the appearance of complacency. Thus, the patient finds himself in good health, although this is just an illusion caused by the influence of alcohol on the psyche. The defeat of his heart is associated with alcoholism. This is a typical alcoholic myocardial dystrophy. It develops most often in chronic alcoholics, but may be at inebriety (as in this case), with relatively preserved performance. The patient has the disease of the heart muscle was under predpatologii (ie, was a reversible process), it was diagnosed in a timely manner, and therefore the treatment not difficult, but this patient had to leave the booze (which was the main and most could be hard to claim). Initially it was limited to driving mode, assigned multivitamins (Decamevit one yellow and one orange tablet twice a day, riboksin to 0,4 g twice daily), and sedatives.

It should be noted that usually draws attention to the fact that alcohol affects the nervous system, liver, stomach, and very little is said and written about the effects of alcohol on the cardiovascular system. The fact that alcohol heart damage (in the literature usually denoted diagnoses: myocardial alcohol, alcoholic myocardiopathy or alcoholic myocardial dystrophy, etc.) often remains unrecognized, masked by other more common diseases of the heart (inflammation of the heart muscle, coronary artery disease heart cardiosclerosis etc.). The researchers suggest that alcohol heart damage should be on a par with lesions in the liver. These authors also draws attention to the importance of early detection of metabolic changes in the myocardium of developing as a result of alcohol abuse, since timely treatment, they are reversible, and influenced by the ongoing chronic alcohol intoxication develops eventually heart failure.

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