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This Concept Map, created with IHMC CmapTools, has information related to: Kardashian_A7, Ethel Kardashian is a 45 y/o female French Canadian physician, Ethel Kardashian presents with near syncope, stroke volume increases preload, myocardial contraction which reduces stroke volume, lactate (from pyruvate) causing lactic acidosis, atrial myocardium stretching conduction system, alcoholic cardiomyopathy, pancytopenia, and Alcoholism secondary to alcoholism treat by Stopping alcohol consumption, ease withdrawal symptoms with Lorazepam; refer to inpatient program for detox and rehab, Ventricular dilation causes extreme shift on Starling's curve, increased EtOH consumption leads to Increased EtOH Metabolism, conduction system resulting in cardiac autorhythmaticity, pulmonary edema diagnosed as Congestive Heart Failure, memory loss and loss of inhibitions leading to Impaired physician, increased acetaldehyde which disrupts protein synthesis, increased NADH/NAD+ ratio promoting decreased aerobic metabolism, increased acetaldehyde leading to increased acetate, near syncope that started 24 hours ago, oxaloacetate conversion to malate which causes decreased TCA, Ethel Kardashian presents with pulmonary edema, Ethel Kardashian presents with weakness, increased atrial pressure stretching atrial myocardium