Study of Cardiac Abnormalities in Patient with Cirrhosis of Liver
Scholars Journal of Applied Medical Sciences
Original Research Article Background: Cirrhosis is defined as diffuse disruption of the normal architecture of the liver with fibrosis and nodule formation. There are significant secondary effect of cirrhosis on cardiac, pulmonary and renal systems. Cirrhotic cardiomyopathy includes combination of reduced cardiac contractility with systolic and diastolic dysfunction and electrophysiological abnormalities. Objectives: To analyze the cardiac abnormalities in cirrhotic patients. Materials and
... ds: This is a retrospective study conducted at Department of General Medicine, MIMS, Mandya. ECG and 2D ECHO reports of patients admitted with cirrhosis of liver were obtained from case sheets, data entered into Excel sheet and analysed. Results: Out of the hundred patients included in study, 43 Patients had diastolic dysfunction, 19 patients had systolic dysfunction on echocardiography. 26 patients had dilated cardiomyopathy, 4 patients had mitral regurgitation, 5 patients had atrial fibrillation, 3 patients had RV dysfunction with pulmonary hypertension, ECG in 40 patients showed QTc prolongation. Conclusion: In our study Diastolic dysfunction was the most common cardiac abnormality found on echocardiography. Apart from conventional complications of cirrhosis, cardiac abnormalities are frequently present in patients with cirrhosis of liver. Which will adversely affect morbidity and mortality in these patients.