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so we see a lot of alcoholism in our community is there a relation between alcoholism and cardiomyopathies and CHF yes absolutely so toxic for the heart but there is a genetical predisposition for this so most individuals that are alcoholic you know they may develop liver dysfunction and thats pretty very well correlated with the dose of alcohol intake when it comes to the heart there is a lesser correlation patients that are no heavy drinkers may you still have an arc all alcohol-related cardiomyopathy and some patients are heavy drinkers that do not develop alcohol-related cardiomyopathy now they alcohol can also trigger certain arrhythmias so alcohol could increase the chances of having irregular rhythms from the top chamber of the heart causes metabolites electrolytes abnormalities that also lead to arrhythmia so there is a well known condition called holiday heart syndrome after a weekend of drinking you may develop an arrhythmia and so these are things that the alcohol could ca