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December 20, 2020Liver International

The prevalence of cirrhotic cardiomyopathy according to different diagnostic criteria

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Why the study?

New 2019 Cirrhotic Cardiomyopathy Consortium criteria altered diagnostic thresholds for systolic and diastolic dysfunction compared to prior recommendations, prompting evaluation of cirrhotic cardiomyopathy prevalence across different diagnostic criteria.

How does the prevalence of cirrhotic cardiomyopathy vary when applying the 2019 CCC criteria compared to the 2005 Montreal and 2009 ASE/EACVI criteria in cirrhotic patients?

Population

122 patients with cirrhosis without other structural heart disease, hypertension, portal vein thrombosis, HCC, or TIPS

Comparison

2019 CCC criteria vs 2005 Montreal recommendations vs ASE/EACVI criteria

Authors

MRM RazpotnikSBSimona BotaPWPhilipp Wimmer

Discussion

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Member takes

Overview

Should not yet change CCM diagnostic practice; leaves open whether 2019 criteria better predict clinically relevant outcomes.

Structured PICO

How does the prevalence of cirrhotic cardiomyopathy vary when applying the 2019 CCC criteria compared to the 2005 Montreal and 2009 ASE/EACVI criteria in cirrhotic patients?

P
Population
122 cirrhotic patients without another structural heart disease, arterial hypertension, portal vein thrombosis, HCC outside Milan criteria and presence of TIPS.
I
Intervention
2019 Cirrhotic Cardiomyopathy Consortium (CCC) diagnostic criteria
C
Comparator
2005 Montreal recommendations and 2009 ASE/EACVI guidelines
O
Outcome
Prevalence of cirrhotic cardiomyopathysurrogate

The 2019 CCC criteria diagnose cirrhotic cardiomyopathy in approximately 60% of cirrhotic patients, with a notably higher prevalence of systolic dysfunction compared to older criteria.

Limitations

  • Lack of long-term follow-up to establish validity of criteria to predict clinical outcomes

Cite This Study

Razpotnik et al. (2020) studied this question.

synapsesocial.com/papers/6a7fbc4c5ca921d2f47850fehttps://doi.org/10.1111/liv.14769
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Also Consider

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