Echocardiography in Chronic Liver Disease: Systematic Review

Vitor Gomes Mota, Brivaldo Markman Filho
2013 Arquivos Brasileiros de Cardiologia  
Doppler echocardiography (Echo) is a non-invasive method of excellent accuracy to screen portopulmonary hypertension (PPH) and to assess intrapulmonary shunts (IPS) in chronic liver disease (CLD). In the past decade, Echo proved to play a fundamental role in the diagnosis of cirrhotic cardiomyopathy (CCM). Objective: To perform a systematic review of relevant articles on the subject 'Echo in CLD'. Methods: In November 2011, a systematic review was performed in the PubMed, LILACS and SciELO
more » ... ases, and the characteristics of the studies selected were reported. Results: The search based on descriptors and free terms obtained 204 articles (179 in Pubmed, 21 in LILACS, and 1 in SciELO). Of those 204 articles, 22 were selected for systematic review. A meta-analysis could not be performed because of the heterogeneity of the articles. Conclusion: Echo should be part of CLD stratification for screening PPH, IPS and CCM, because, most of the time, such complications are diagnosed only when patients are already waiting for a liver transplant. (Arq Bras Cardiol. 2013;100(4):376-385
doi:10.5935/abc.20130047 fatcat:3xbwihpvn5fmll7xcza3hsy2du