Drinking alcohol heavily for several years can weaken the muscle walls of the heart. Weakened muscles then stretch, which enlarges the heart. A large, weakened heart cannot pump blood through the body normally. Symptoms such as fatigue, shortness of breath, and leg swelling result. Doctors call this serious disorder alcohol-related heart failure (alcoholic cardiomyopathy). Treatment with drugs can help symptoms, but heart transplant surgery is the only way for some people to improve their chances of living longer. Most doctors believe that people with alcoholic cardiomyopathy should avoid all alcohol. Experts have not agreed on whether reducing alcohol intake rather than completely abstaining from alcohol has any benefits. Better evidence is needed to resolve this uncertainty.