Tissue Doppler Imaging Assessment for left ventricular systolic and diastolic function in Patients with Different Grades of Liver Cirrhosis

Background: Chronic cardiac disease known as cirrhotic cardiomyopathy dysfunction in cirrhotic patients characterised by altered diastolic relaxation and/or impaired contractile reactivity to stress in the absence of other recognised cardiac diseases.. Aim and objectives: The purpose of the study was to evaluate tissue Doppler the left ventricle's systolic and diastolic characteristics performance in patients with liver cirrhosis. Subjects and methods: Al-Hussien Hospital, Al-Azhar University, did this cross-sectional case-control study, The study included 75 patients with liver cirrhosis and 25 healthy participants. There were four groups created from the study populations: 25 healthy volunteers make up the control group. Patients in Group 1 have Child A liver cirrhosis, while those in Group 2 have Child B cirrhosis. Group 2., Group 3, which consists of patients with Child C liver cirrhosis. Participants conducted transthoracic echocardiography, tissue collection, and left lateral decubitus for assessment. We followed ASE's Doppler echocardiography guidelines. LV systole function. Results: A statistically significant higher mean value in patients group compared to control group according to MPI PWD, MPI TDI, MV E/É ratio, DT (ms) and IVRT (ms) with p-value; The average values of the EF by Simpson, Average S wave, and EF by M mode all differed significantly. when comparing the sick group to the control group., and MV E/A ratio was seen. A p-value of 0.05 was used to determine this difference. Conclusion: Compared to the control group, patients with liver cirrhosis exhibited significantly worse left ventricular systolic and diastolic functioning, and the decompensated patients showed a greater difference than the compensated patients.