JAMES F. SULLIVAN, M.D., F.A.C.P.; RALPH GEORGE, M.D.; ROBERT BLUVAS, M.D.; JOHN D. EGAN, M.D.
The clinical course of 34 patients hospitalized with a myocardiopathy related to excessive consumption of beer containing cobalt is described. These patients are the survivors of a group of 60 with this type of disease. Twenty of the 34 patients appear to have regained normal cardiac status and have good exercise tolerance, normal-size heart, and minimal electrocardiographic abnormalities. Six of the 34 have had recurrent or chronic cardiac failure. Four patients appear to have neurologic and mental deterioration, and 2 of the 34 died suddenly at their homes; autopsy was not performed. In its clinical course this type of myocardiopathy seems to be distinct from the usual type that is associated with alcohol.
SULLIVAN JF, GEORGE R, BLUVAS R, et al. Myocardiopathy of Beer Drinkers: Subsequent Course. Ann Intern Med. 1969;70:277–282. doi: https://doi.org/10.7326/0003-4819-70-2-277
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Published: Ann Intern Med. 1969;70(2):277-282.
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