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January 1, 1996Scandinavian Journal of Gastroenterology

Alcohol Abuse Exaggerates Autonomic Dysfunction in Chronic Liver Disease

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Key result

Autonomic neuropathy was present in 77% of patients with alcoholic liver disease compared to 14% with non-alcoholic liver disease, indicating alcohol abuse exaggerates vagal nerve dysfunction.

Why the study?

Does alcohol abuse exaggerate autonomic dysfunction in patients with chronic liver disease compared to non-alcoholic liver disease and healthy controls?

Population

27 patients with chronic liver disease and 56 healthy controls

Comparison

Chronic alcoholic liver disease vs Non-alcoholic liver disease and healthy controls

Design

Case-control

Authors

SLStefan LindgrenLund UniversityBLB. LiljaNorra Älvsborgs LänssjukhusHVHans VerbaanSkåne University Hospital

Discussion

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Implication

Alcohol abuse may exacerbate autonomic neuropathy in liver disease; hypothesis-generating and should not yet change practice.

Study Design

Type

Cross-Sectional (n=83)

Structured PICO

Does alcohol abuse exaggerate autonomic dysfunction in patients with chronic liver disease compared to non-alcoholic liver disease and healthy controls?

P
Population
27 patients with chronic alcoholic and non-alcoholic liver disease and 56 healthy controls evaluated for autonomic nerve function.
E
Exposure
Chronic alcoholic liver disease
C
Comparator
Non-alcoholic liver disease and healthy controls
O
Outcome
Autonomic nerve function evaluated by heart reactions to deep breathing (expiratory/inspiratory (E/I) ratio) and to tilt (acceleration and brake indices)surrogate

Main Result

Absolute Event Rate: 77% vs 14%

Autonomic, mainly vagal, nerve dysfunction is common in chronic liver disease and is significantly exacerbated by alcohol abuse.

Cite This Study

Lindgren et al. (1996) conducted a cross-sectional in Chronic liver disease (n=83). Alcohol abuse (alcoholic liver disease) vs. Non-alcoholic liver disease and healthy controls was evaluated on Autonomic neuropathy. Autonomic neuropathy was present in 77% of patients with alcoholic liver disease compared to 14% with non-alcoholic liver disease, indicating alcohol abuse exaggerates vagal nerve dysfunction.

synapsesocial.com/papers/6a62cfda4f5ef41b946a718ahttps://doi.org/10.3109/00365529609036897
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autonomic Neuropathy and Chronic Liver Disease1989 · 140 citations
  2. 2Mortality in alcoholics with autonomic neuropathy.1988 · 124 citations
  3. 3Plasma catecholamine level and portal venous pressure as guides to prognosis in patients with cirrhosis1988 · 89 citations
  4. 4Respiratory influence on heart rate in diabetes mellitus.1979 · 248 citations
  5. 5Increased Sympathetic Outflow in Cirrhosis and Ascites: Direct Evidence from Intraneural Recordings1991 · 127 citations