Echocardiographic Assessment of Right Ventricular Function in Patients With Liver Cirrhosis

被引:0
作者
Enenche, Augustine A. [1 ,2 ]
Kweki, Anthony G. [3 ]
Aiwuyo, Henry O. [4 ]
Nevolina, Anna [4 ]
Akinti, Oluwasegun M. [4 ]
Perry, Jamal C. [5 ]
Ayinalem, Yonael [4 ]
Osarenkhoe, John O. [6 ]
Ukenenye, Emmanuel [4 ]
Poluyi, Charles O. [4 ]
Sulei, Solomon Danbauchi [1 ]
机构
[1] Jos Univ Teaching Hosp, Internal Med, Jos, Nigeria
[2] Dalhatu Araf Specialist Hosp, Internal Med Cardiol, Lafia, Nigeria
[3] East Suffolk & North Essex NHS Fdn Trust ESNEFT, Colchester Hosp, Internal Med Cardiol, Colchester, England
[4] Brookdale Univ Hosp Med Ctr, Internal Med, Brooklyn, NY USA
[5] Brookdale Univ Hosp Med Ctr, Med, Brooklyn, NY USA
[6] Igbined Univ Teaching Hosp, Med & Surg, Benin, Nigeria
关键词
echocardiography; cardiovascular complications; liver cirrhosis; diastolic dysfunction; systolic dysfunction; right ventricle; DISEASE;
D O I
10.7759/cureus.57410
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: In patients with chronic liver disease, the common endpoint of its course is liver cirrhosis which is a cause of cardiovascular morbidity and mortality. These abnormalities in the cardiovascular system, especially the heart, can be detected by echocardiography. Identifying and acting on these abnormalities can have an impact on their management thereby reducing morbidity and mortality of patients with liver cirrhosis. The aim of this study was to determine the prevalence of right ventricular systolic and diastolic dysfunction in liver cirrhosis patients. Methods and materials: A hospital -based cross-sectional study was conducted among adult patients of the gastroenterology unit (ward and clinic) diagnosed with liver cirrhosis. A total of 243 patients were recruited and 210 were evaluated for this study. This study was carried out over one year. Cardiology studies, including electrocardiography and echocardiography, were conducted on patients to assess right ventricular function. Results: Among the participants, 44.8% had right ventricular hypertrophy and 3.8% had right ventricular dilatation. Using Tricuspid Annular Plane Systolic Excursion (TAPSE), 17.1% were found to have right ventricular systolic dysfunction and 51.4% had systolic dysfunction using FAC. Diastolic dysfunction was found in 61% of the participants and grade 2 diastolic dysfunction was the commonest. Conclusion: From this study, a high prevalence of right ventricular systolic and diastolic dysfunction was recorded among patients with liver cirrhosis.
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页数:12
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