Echocardiographic Changes in Chronic Liver Disease
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Echocardiography is a non-invasive method to find cirrhotic cardiomyopathy in chronic liver disease. Almost one-fourth of deaths in chronic liver disease are due to cardiac abnormalities, So early detection of subclinical cardiac changes is important to reduce morbidity and mortality in chronic liver disease patients. Current research objective was to study the clinical profile with special reference to cardiovascular system in patients with chronic liver disease, to find out the incidence of cardiac changes in patient with chronic liver disease using echocardiography, to correlate the clinical profile and echocardiographic changes in patients with chronic liver disease and to find out the incidence of hepato / porto pulmonary arterial hypertension in patient with chronic liver disease. Material and methods: The present study was carried out 100 indoor patients admitted in the Department of Medicine, N.S.C.B. Medical College Hospital, Jabalpur, and Madhya Pradesh. Diagnosis of chronic liver disease was made on the basis of clinical history and examination, biochemical and serological evaluation, and ultrasonographic imaging. Results: Based on Child Turcotte Pugh score for severity of cirrhosis, 43% of cases were in Child class A, 45% in Class B and 12% in class C. The incidence of cardiac abnormalities increased with duration of chronic liver disease. Incidence of diastolic dysfunction was 32% (P = 0.00001), systolic dysfunction was 6% (P = 0.0033), pericardial effusion was 22% (P = 0.00001), pulmonary arterial hypertension was 6% (P = 0.0033). Conclusion: There is increased incidence of subclinical cardiac abnormalities in chronic liver disease patients which increases and worsens with duration and severity of illness.
Authors and Affiliations
P. Punekar, Dinesh Kumar Thakur
Keywords
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