Cirrhotic cardiomyopathy: Indian scenario

Alexander, Jacob; Mishra, Peeyush; Desai, Nutan; Ambadekar, Shekhar; Gala, Bharat; Sawant, Prabha

doi:10.1111/j.1440-1746.2006.04507.x

Cited by 32 publications

(26 citation statements)

References 18 publications

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“…Cirrhotic patients of our study had liver dysfunction of early, intermediate & late severity 15 patients (30%) were in Child-Pugh class A, 16 patients (32%) were in Child-Pugh class B, 19 Patients (38%) were in class C. In our study there was no significant correlation between the severity of hepatic dysfunction and cardiac changes, which is consistent with one published report from India 1 . As in our study we included 50 cirrhotic subjects and out of this 42 had cirrhotic cardiomyopathy, so prevalence in our study was 84%.…”

Section: Discussionsupporting

confidence: 82%

Cirrhotic Cardiomyopathy – a significant complication of Chronic Liver Disease Patients

Mahant¹,

Chandel²,

Upasana³

et al. 2014

IOSRJDMS

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Key words: Cirrhotic echocardiography criteria, 6 minutes walking test MethodologyHundred patients with cirrhosis (alcoholic and non-alcoholic) were enrolled. Data collection was done by clinical history, examination, investigations. All subjects underwent Echocardiography study at rest and stress i.e. 6 minutes walking test. Observation and ResultsPrevalence of cirrhotic cardiomyopathy in my study was 91.42%. Systolic dysfunction-At the time of stress, ejection fraction was 59.78± 5.767 in cirrhotic cardiomyopathy and 67±3.786 in non-cirrhotic cardiomyopathy subjects. P value was 0.02.

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Section: Discussionsupporting

confidence: 82%

Cirrhotic Cardiomyopathy – a significant complication of Chronic Liver Disease Patients

Mahant¹,

Chandel²,

Upasana³

et al. 2014

IOSRJDMS

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“…Thus, cardiac changes even in patients with alcoholic cirrhosis can be attributed to cirrhosis itself rather than to alcohol consumption. This is in concordance with another Indian study by Jacob et al (13) Alcohol does not appear to be a contributory factor to the development of cirrhotic cardiomyopathy, as only some of the patients with cardiac dysfunction had alcohol as the aetiology of their cirrhosis.…”

Section: Discussionsupporting

confidence: 81%

A Study of Changes in Cardiac Echocardiography in Cirrhosis of Liver

Boddu¹,

C²

2016

jemds

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BACKGROUNDCirrhosis of liver with portal hypertension results in hyperdynamic circulatory state. This is associated with a variety of cardiovascular alterations. In addition, the heart in patients with cirrhosis presents with structural and functional abnormalities that have been termed cirrhotic cardiomyopathy.The aim of this study is to assess the changes in cardiac echocardiography in patients with cirrhosis of liver.

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“…7 The results in our study were similar to previous studies showing evidence of diastolic dysfunction among cirrhotics. 8,9 EDT was shorter in cirrhotic group as compared to controls. The median E deceleration time (ms) in cirrhotics and controls was 170 (100 -229) and 204 (190 -220) respectively and difference was statistically significant (P<0.01).…”

Section: Discussionmentioning

confidence: 69%

“…This result was in contrast to previous studies where EDT was prolonged in cirrhotics as compared to controls. 8 EDT reflects impedance to LV filling and varies with severity of diastolic dysfunction, the value increases in grade 1 diastolic dysfunction and as severity worsens it tends to pseudonormalise or decreases. 10 E/A ratio and IVRT did not show statistically significant difference among cirrhotics and controls.…”

Section: Discussionmentioning

confidence: 99%