Cardiac Changes in Cirrhotic Patients
Abdel Monem, S., Moaz, M., Roshdy, H., Amer, K. (2020). Cardiac Changes in Cirrhotic Patients. EKB Journal Management System, 10(3), 249-256. doi: 10.21608/aeji.2020.25908.1057
Sameh M Abdel Monem; Mostafa Moaz; Hisham S Roshdy; Kamal Amer. "Cardiac Changes in Cirrhotic Patients". EKB Journal Management System, 10, 3, 2020, 249-256. doi: 10.21608/aeji.2020.25908.1057
Abdel Monem, S., Moaz, M., Roshdy, H., Amer, K. (2020). 'Cardiac Changes in Cirrhotic Patients', EKB Journal Management System, 10(3), pp. 249-256. doi: 10.21608/aeji.2020.25908.1057
Abdel Monem, S., Moaz, M., Roshdy, H., Amer, K. Cardiac Changes in Cirrhotic Patients. EKB Journal Management System, 2020; 10(3): 249-256. doi: 10.21608/aeji.2020.25908.1057

Cardiac Changes in Cirrhotic Patients

Afro-Egyptian Journal of Infectious and Endemic Diseases
Article 3, Volume 10, Issue 3, September 2020, Page 249-256  XML PDF (401.31 K)
Document Type: Original Article
DOI: 10.21608/aeji.2020.25908.1057
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Authors
Sameh M Abdel Monem email 1; Mostafa Moaz1; Hisham S Roshdy2; Kamal Amer1
1Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Egypt.
2Department of Cardiology, Faculty of Medicine, Zagazig University, Egypt.
Abstract
Background and study aim: Cardiac dysfunction in cirrhotic patients presented by imperfect cardiac contractility in response to stress and/or change in the diastolic relaxation of the heart with electrophysiological changes in lack of other recognized cardiac disease. The study aimed to assess the cardiac changes in cirrhotic patients.
Patients and Methods: our study was conducted on 100 adult cirrhotic patients who were divided according to the Child Pugh score into 3 groups: G1: comprised 30 Child A patients. G2: comprised 30 Child B patients. G3: comprised 40 Child C patients. Full history, clinical examination, laboratory (CBC, liver and kidney function tests, viral markers and FBS), ECG and cardiac echo-doppler were done for all patients.
Results: Out of 100 cirrhotic patients, QTC interval was found to be prolonged in 70 cirrhotic patients. Echo-cardiographic abnormalities were found in Child B and C group patients more than in Child A patients. There was significant increase in Echo parameters as (IVRT and PAP) with liver disease deterioration from Child A to Child C. There was no significant difference regarding left and right ventricular end diastolic diameter among the studied groups.
Conclusion: 70% of cirrhotic patients had cardiac changes and there is positive correlation between severity of liver cirrhosis and cardiac changes.
Keywords
liver cirrhosis; cirrhotic cardiomyopathy; child pugh score
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