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March 23, 2021Middle East Journal of Digestive DiseasesOpen Access

Factors Predicting Cardiac Dysfunction in Patients with Liver Cirrhosis

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Key result

The presence of ascites independently predicted left ventricular diastolic dysfunction in patients with liver cirrhosis (OR 4.19), along with higher MELD score and lower serum albumin.

Why the study?

Left ventricular diastolic dysfunction increases morbidity and mortality in cirrhosis, but studies evaluating its predictive factors in India are sparse.

What are the independent clinical predictors of left ventricular diastolic dysfunction in patients with liver cirrhosis?

Population

104 patients with cirrhosis

Design

Prospective study

Authors

MBManas Kumar BeheraSriram Chandra Bhanja Medical College HospitalJNJimmy NarayanSiksha O Anusandhan UniversityMSManoj Kumar SahuAll India Institute of Medical Sciences

Discussion

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Member takes

Implication

Low albumin, high MELD, and ascites predict LVDD in cirrhosis; leaves open whether targeted screening improves outcomes.

Study Design

Type

Cross-Sectional (n=104)

Multicenter

No

Structured PICO

What are the independent clinical predictors of left ventricular diastolic dysfunction in patients with liver cirrhosis?

P
Population
104 patients with liver cirrhosis, free of diabetes, hypertension, and chronic cardiopulmonary diseases, evaluated cross-sectionally for left ventricular diastolic dysfunction.
O
Outcome
Presence of left ventricular diastolic dysfunction (LVDD) evaluated by 2D echocardiography with tissue Doppler imagingsurrogate

Main Result

Odds Ratio: 4.19 (95% CI 1.38–12.65)

p-value: p=<0.01

Low serum albumin, high MELD score, and the presence of ascites are independent predictors of left ventricular diastolic dysfunction in patients with liver cirrhosis.

Limitations

  • Small sample size
  • Lack of follow-up data on the outcome of the patients
  • Lack of stress testing

Cite This Study

Behera et al. (2021) conducted a cross-sectional in Liver Cirrhosis (n=104). Presence of ascites vs. Absence of ascites was evaluated on Left ventricular diastolic dysfunction (LVDD) (OR 4.19, 95% CI 1.38-12.65, p=<0.01). The presence of ascites independently predicted left ventricular diastolic dysfunction in patients with liver cirrhosis (OR 4.19), along with higher MELD score and lower serum albumin.

synapsesocial.com/papers/6a93b192be16c60882807355https://doi.org/10.34172/mejdd.2021.228
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Also Consider

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

  1. 1Liver cirrhosis and left ventricle diastolic dysfunction: Systematic review2019 · 47 citations
  2. 2Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography2009 · 4,387 citations
  3. 3Cardiac diastolic dysfunction predicts poor prognosis in patients with decompensated liver cirrhosis2018 · 37 citations
  4. 4Cirrhotic cardiomyopathy: is there any correlation between the stage of cardiac impairment and the severity of liver disease?2017 · 35 citations
  5. 5Diastolic myocardial dysfunction does not affect survival in patients with cirrhosis2012 · 47 citations